Individual
BETH MIRASOLA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1202 COUNTY ROAD PH STE 100, ONALASKA, WI 54650-8440
(608) 781-6828
Mailing address
1202 COUNTY ROAD PH STE 100, ONALASKA, WI 54650-8440
(608) 781-6828
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3152
WI
Other
Enumeration date
10/04/2006
Last updated
05/08/2014
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