Individual
RONALD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2350 TAFT ST, GARY, IN 46404-3349
(219) 669-8708
Mailing address
492 MADISON AVE APT 2, CALUMET CITY, IL 60409
(708) 238-6006
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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