Individual
MS. MARGARET R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3479 KNOX LANE, NEENAH, WI 54956
(920) 450-5753
(920) 836-1747
Mailing address
3479 KNOX LANE, NEENAH, WI 54956
(920) 450-5753
(920) 836-1747
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1613024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40045000
—
WI
Enumeration date
11/13/2006
Last updated
07/08/2007
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