Individual
MRS. JAMIE BETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
501 S MURPHY AVE, BRAZIL, IN 47834-8316
(812) 446-2636
Mailing address
501 S MURPHY AVE, BRAZIL, IN 47834-8316
(812) 446-2636
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0603127A
IN
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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