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Individual

MS. WENDY FULK SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
LOYALTON OF STAUNTON, 1900 HILLSMERE LANE, STAUNTON, VA 24401
(540) 851-0210
(540) 851-0251
Mailing address
14032 LITTLE DRY RIVER RD, FULKS RUN, VA 22830-2604
(540) 896-8855

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306001400
VA

Other

Enumeration date
04/24/2007
Last updated
07/08/2007
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