Individual
MRS. JEANNINE L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1020 N UNION ST, MIDDLETOWN, PA 17057-2158
(717) 930-1200
Mailing address
724 ALBERTA AVE, MECHANICSBURG, PA 17050-2270
(717) 732-7103
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE000520L
PA
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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