Individual
JANET R SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
310 W TAFT AVE, SAPULPA, OK 74066-5437
(918) 224-6012
Mailing address
1170 E 133RD ST, GLENPOOL, OK 74033-2330
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1541
OK
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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