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Individual

MRS. DEBORAH SIMON SMAGLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2743 W JARLATH ST, CHICAGO, IL 60645-1317
(314) 792-3332
Mailing address
2743 W JARLATH ST, CHICAGO, IL 60645-1317
(314) 792-3332

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
R0877
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
650016968
MO
Enumeration date
02/05/2008
Last updated
05/23/2025
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