Individual
MS. MINDY ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2241 ROMBACH AVE, WILMINGTON, OH 45177-1995
(937) 383-7722
(937) 383-0791
Mailing address
309 WALNUT STREET, PO BOX 228, PORT WILLIAM, OH 45164-0228
(937) 486-3131
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT. 001249
OH
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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