Individual
CHANA IONE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11127 SMITH VALLEY RD, BERRIEN SPRINGS, MI 49103-9684
(239) 834-9614
Mailing address
11127 SMITH VALLEY RD, BERRIEN SPRINGS, MI 49103-9684
(239) 834-9614
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA01294600
NJ
225100000X
Physical Therapist
Primary
5501002935
MI
Other
Enumeration date
11/10/2009
Last updated
11/10/2009
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