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Individual

CANDICE RENE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
9751 W 85TH ST, APT A, OVERLAND PARK, KS 66212-4516
(816) 582-5815
Mailing address
9751 W 85TH ST, APT A, OVERLAND PARK, KS 66212-4516
(816) 582-5815

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-02467
KS

Other

Enumeration date
02/25/2013
Last updated
02/25/2013
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