Individual
MRS. JULIE ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
619 6TH ST W, PARK RAPIDS, MN 56470-1301
(218) 237-8335
(218) 237-5142
Mailing address
619 6TH ST W, PARK RAPIDS, MN 56470-1301
(218) 237-8335
(218) 237-5142
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1096
MN
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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