Individual
AMANDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 MARGE SCHOTT WAY, MAINEVILLE, OH 45039-8863
(937) 241-1868
Mailing address
8100 MULBERRY ST, MAINEVILLE, OH 45039-9602
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10556
OH
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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