Individual
MRS. JENNIFER R. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
864 BARRANCA DR, CASTLE ROCK, CO 80104-7420
(720) 708-4475
Mailing address
864 BARRANCA DR, CASTLE ROCK, CO 80104-7420
(720) 708-4475
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0595
WY
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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