Individual
KAREN ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 CRESTVIEW TER, BRIDGEPORT, WV 26330-1010
(304) 842-3610
Mailing address
6 BRIGHTON CIR, CLARKSBURG, WV 26301-9701
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000501
WV
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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