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Individual

MARIA SOCORRO MIEL SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1900 WOODLAND DR, COOS BAY, OR 97420-2099
(541) 267-5151
(541) 266-4526
Mailing address
1900 WOODLAND DR, COOS BAY, OR 97420-2099
(541) 267-5151
(541) 266-4526

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501012505
MI
225100000X
Physical Therapist
Primary
62584
OR

Other

Enumeration date
04/30/2008
Last updated
04/06/2026
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