Individual
REBECCA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15950 PIERCE ST, MIDDLEFIELD, OH 44062-9577
(440) 632-5241
Mailing address
15950 PIERCE ST, MIDDLEFIELD, OH 44062-9577
(440) 632-5241
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA012366
OH
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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