Individual
MRS. MIRIAM JOY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-3080
Mailing address
226 HAY AVE, BROOKVILLE, OH 45309-1706
(937) 657-0544
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5568
OH
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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