Individual
AMY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
7233 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7137
(330) 498-8200
Mailing address
1643 25TH ST NE, CANTON, OH 44714-1955
(330) 453-2361
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 00588
OH
Other
Enumeration date
12/28/2009
Last updated
12/28/2009
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