Individual
GAIL DEANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
56881 ENTERPRISE DR, SUNRIVER, OR 97707
(541) 593-8535
(541) 593-0316
Mailing address
56749 SPRING RIVER LOOP, BEND, OR 97707
(541) 593-6167
(541) 593-0316
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1375
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184473
—
OR
Enumeration date
02/15/2006
Last updated
08/02/2010
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