Individual
MRS. JERRICA KIMBER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
175 CAPE MAY DR., THERAPY SUITE, WILMINGTON, OH 45177
(937) 382-2995
Mailing address
43 LOVING LN, WILMINGTON, OH 45177-7931
(937) 728-2602
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08653
OH
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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