Individual
EMIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 S COUNTRY CLUB RD, EL RENO, OK 73036-5304
(405) 422-1291
Mailing address
2446 TOWNSEND DR, EL RENO, OK 73036-2122
(405) 202-6501
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1244
LICENSE#
OK
Enumeration date
11/07/2006
Last updated
07/08/2007
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