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1013318427
ANDREA JANTSON SMITH
FORT WAYNE, IN
NPI
1013318427
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Other Name
ANDREA JEANETTE SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 005006978A)
Enumeration Date
2014-09-05
Last Update Date
2021-02-25
Business Address
Ms. ANDREA JANTSON SMITH MSPT
11143 PARKVIEW PLAZA DR STE 100
FORT WAYNE, IN 46845-1728
Phone number: 260-266-7400
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Mailing Address
Ms. ANDREA JANTSON SMITH MSPT
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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