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Individual

MR. JEFFREY PAUL SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1625 OCALA AVE, JOHNSTOWN, PA 15902-3526
(814) 266-6135
Mailing address
1625 OCALA AVE, JOHNSTOWN, PA 15902-3526
(814) 266-6135

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE009192
PA

Other

Enumeration date
11/29/2011
Last updated
11/29/2011
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