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Individual

MRS. JENNIFER NOBLE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT, OCS

Contact information

Practice address
1011 BOWLES AVE, SUITE 150, FENTON, MO 63026-2395
(636) 343-9555
(636) 343-9556
Mailing address
1011 BOWLES AVE, SUITE 150, FENTON, MO 63026-2395
(636) 343-9555
(636) 343-9556

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
117945
MO

Other

Enumeration date
08/18/2010
Last updated
08/18/2010
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