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Individual

EMILY SMITH RENO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA/ATC

Contact information

Practice address
107 MEDICAL CENTER DR, FISHERSVILLE, VA 22939-2341
(540) 932-5935
(540) 932-5945
Mailing address
31 CHICORY DR, FISHERSVILLE, VA 22939-2129

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306001779
VA
2255A2300X
Athletic Trainer

Other

Enumeration date
10/28/2012
Last updated
10/28/2012
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