Individual
MRS. JAMIE L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5340 ROYALTON RD, N ROYALTON, OH 44133-4008
(440) 230-1133
(440) 230-9243
Mailing address
15700 VAN AKEN BLVD, APT 29, SHAKER HTS, OH 44120-5344
(440) 230-1133
(440) 230-9243
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014708
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT014708
PT LICENSE
OH
Enumeration date
10/06/2014
Last updated
10/06/2014
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