Individual
MEGAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO
Contact information
Practice address
3445 W 96TH ST, INDIANAPOLIS, IN 46268-1102
(317) 334-1114
Mailing address
3445 W 96TH ST, INDIANAPOLIS, IN 46268-1102
(317) 334-1114
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CO005088
IN
Other
Enumeration date
08/01/2017
Last updated
07/21/2022
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