Individual
DENISE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
102 HERITAGE LN, STROUDSBURG, PA 18360-8579
(570) 807-7768
Mailing address
102 HERITAGE LN, STROUDSBURG, PA 18360-8579
(570) 807-7768
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/01/2014
Last updated
01/14/2016
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