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Individual

SUZANNE SMALLWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
240 HOSPITAL RD, WHITESBURG, KY 41858-7627
(606) 633-3524
(606) 633-3627
Mailing address
240 HOSPITAL RD, WHITESBURG, KY 41858-7627
(606) 633-3524
(606) 633-3627

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000715
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000715
KY. BOARD OF PHYSICAL THERAPY
KY
Enumeration date
11/15/2012
Last updated
11/15/2012
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