Individual
SUSAN E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
64 HIGHWAY UU, SILEX, MO 63377-2231
(573) 384-5227
(573) 384-5996
Mailing address
PO BOX 46, SILEX, MO 63377-0046
(573) 384-5227
(573) 384-5996
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
104901
MO
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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