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Individual

MRS. CATHERINE MARIE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, PTA

Contact information

Practice address
6410 W JEFFERSON BLVD STE 15A, FORT WAYNE, IN 46804-6282
(260) 299-7272
(260) 299-7273
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
(586) 477-4689

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002616A
IN
2255A2300X
Athletic Trainer
36000666A
IN

Other

Enumeration date
05/23/2007
Last updated
05/22/2026
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