Individual
TANYA ELAINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2 W MAIN ST, SUITE 200, ARDMORE, OK 73401-6505
(580) 223-3383
(580) 223-6696
Mailing address
2 W MAIN ST, SUITE 200, ARDMORE, OK 73401-6505
(580) 223-3383
(580) 223-6696
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1928
OK
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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