Individual
AMY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 CLARK RD, WADSWORTH, OH 44281-9424
(330) 801-0632
Mailing address
1025 CLARK RD, WADSWORTH, OH 44281-9424
(330) 801-0632
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RV770403
OH
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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