Individual
SUSAN JANE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 MERIT DR, CLEVELAND, OH 44143-1457
(216) 261-9600
Mailing address
1808 GREEN RD, MADISON, OH 44057-1804
(440) 428-1195
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
02888
OH
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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