Individual
MRS. ANGELA RENE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3840 WOODLEY RD, SUITE D, TOLEDO, OH 43606-1175
(419) 724-5582
Mailing address
3840 WOODLEY RD, SUITE D, TOLEDO, OH 43606-1175
(419) 724-5582
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.009960
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OH
Enumeration date
07/10/2013
Last updated
10/29/2014
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