Individual
AMY S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
115 WOODBINE LN, DANVILLE, PA 17821-9118
(570) 271-7969
Mailing address
130 FOUST ST, DANVILLE, PA 17821-2118
(570) 441-8320
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003513
PA
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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