Individual
JESSICA A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
105 SUGAR CAMP CIR, SUITE 221, OAKWOOD, OH 45409-1962
(937) 227-3174
Mailing address
83 N MILLER RD, SUITE 202, FAIRLAWN, OH 44333-3729
(330) 865-1600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 012430
OH
Other
Enumeration date
10/30/2009
Last updated
09/17/2014
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