Individual
MRS. SUSAN D SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
801 S STATE ROAD 57, WASHINGTON, IN 47501-4373
(812) 254-4516
(812) 254-4765
Mailing address
1885 S 75 E, WASHINGTON, IN 47501-8015
(812) 254-6945
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06001226A
IN
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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