Individual
MS. ABIGAIL ALEXA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
371 N WASHINGTON ST, WILKES BARRE, PA 18705-2425
(603) 913-4278
Mailing address
371 N WASHINGTON ST, WILKES BARRE, PA 18705-2425
(603) 913-4278
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
PA
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
09/10/2017
Last updated
02/22/2021
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