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Individual

ABBIGAIL LYNN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
2350 OAKDALE BLVD, CORALVILLE, IA 52241-9702
(319) 351-5432
Mailing address
3505 PARK SIDE DR, DES MOINES, IA 50317-5015
(515) 313-8623

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
094620
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
NA
Enumeration date
02/11/2019
Last updated
02/11/2019
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