Mitchell Smith

NPI #1871104075 in Westmont, Illinois

Provider Information

NPI Number: 1871104075
Entity Type: Individual
Name: Mitchell Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Aug 11, 2020
Last Updated: Aug 11, 2020

Practice Location

Address: 1010 EXECUTIVE DR STE 250B
City: Westmont
State: Illinois
ZIP Code: 60559-6135
Phone: (630) 920-2350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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