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Individual

MRS. JESSICA LAUREN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
5501016821
MI
225100000X
Physical Therapist
Primary
05012478A
IN

Other

Enumeration date
06/13/2018
Last updated
04/12/2019
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