Tanya Elaine Smith, PT

NPI #1902177215 in Ardmore, Oklahoma

Provider Information

NPI Number: 1902177215
Entity Type: Individual
Name: Tanya Elaine Smith, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jan 18, 2012
Last Updated: Jan 18, 2012

Practice Location

Address: 2 W MAIN ST
Address 2: SUITE 200
City: Ardmore
State: Oklahoma
ZIP Code: 73401-6505
Phone: (580) 223-3383

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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