MRS. Jennifer Lynne Smith, PTA, ATC, NCMT

NPI #1104077015 in Sandwich, Illinois

Provider Information

NPI Number
1104077015
Entity Type
Individual
Name
MRS. Jennifer Lynne Smith, PTA, ATC, NCMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA, ATC, NCMT
Enumeration Date
Oct 9, 2008
Last Updated
Mar 17, 2018

Practice Location

Address
1310 N MAIN ST STE 100
ZIP Code
60548-1394
Phone
(815) 786-6000

Specialties & Taxonomy Codes

Specialty
Rehabilitation Practitioner
Physical Therapy Assistant

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