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Individual

JENNIFER JOSEPH SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH4130
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00292787
RAILROAD MEDICARE
AL
Enumeration date
07/19/2006
Last updated
07/08/2007
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