Individual
CHRISTINE RENEE SMOTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
905 WALLACE, DELAWARE, OH 43015
(740) 815-8294
Mailing address
905 WALLACE DR, DELAWARE, OH 43015-8971
(740) 815-8294
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00003516
OH
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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