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Individual

JACQUELINE CHRISTINE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT, ATC

Contact information

Practice address
697 LOUISIANA RD, DYESS AFB, TX 79607-1141
(325) 696-1515
Mailing address
697 LOUISIANA RD, DYESS AFB, TX 79607-1141
(325) 696-1515

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1285333
TX

Other

Enumeration date
03/03/2017
Last updated
10/06/2025
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