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Organization

SMART MOVES PHYSICAL THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AMY BENNETT PT (OWNER)
(937) 684-4660
Entity
Organization

Contact information

Practice address
2360 W DOROTHY LN, SUITE 105, MORAINE, OH 45439-1858
(937) 684-4660
(937) 684-4428
Mailing address
2360 W DOROTHY LN, SUITE 105, MORAINE, OH 45439-1858
(937) 684-4660
(937) 684-4428

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
6163
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1659512689
NPPES INDIVIDUAL
OH
Enumeration date
04/21/2009
Last updated
04/21/2009
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