Individual
MRS. JENNIFER LYNNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA, ATC, NCMT
Contact information
Practice address
1310 N MAIN ST STE 100, SANDWICH, IL 60548-1394
(815) 786-6000
(815) 786-3603
Mailing address
1952 ABERDEEN CT, SYCAMORE, IL 60178-3175
(815) 758-0000
(815) 748-3014
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160-007698
IL
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
10/09/2008
Last updated
03/17/2018
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