Individual
JONATHAN DAVID SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5467 CEDAR VILLAGE DR, MASON, OH 45040-8693
(513) 754-3100
Mailing address
118 MEDICAL DR, CARMEL, IN 46032-3323
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA011369
OH
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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