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Individual

JANINE LOUISE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1397 S LINDEN RD STE B, FLINT, MI 48532-4194
(810) 230-9750
(810) 230-9750
Mailing address
1397 S LINDEN RD STE B, FLINT, MI 48532-4194
(810) 230-9750

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000495
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
383499025
MI
Enumeration date
01/30/2018
Last updated
01/30/2018
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