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Individual

MS. DIANE K SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPT

Contact information

Practice address
111 W WATER ST, CHILLICOTHE, OH 45601-2452
(740) 851-4432
(740) 851-4712
Mailing address
111 W WATER ST, CHILLICOTHE, OH 45601-2452
(740) 851-4432
(740) 851-4712

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
225100000X
Physical Therapist
6591
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1568400422
OH
Enumeration date
06/03/2006
Last updated
11/01/2018
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