Individual
ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7686 STONE VALLEY CIR, EDMOND, OK 73034-9564
(405) 245-3829
Mailing address
7686 STONE VALLEY CIR, EDMOND, OK 73034-9564
(405) 245-3829
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
967
OK
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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