Individual
JEANNETTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 AVENUE K SE APT 228, WINTER HAVEN, FL 33880-4054
(904) 652-6463
Mailing address
200 AVENUE K SE APT 228, WINTER HAVEN, FL 33880-4054
(904) 652-6463
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
21111
FL
Other
Enumeration date
02/13/2013
Last updated
02/13/2013
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