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1861699001
SUSAN D SMITH
WASHINGTON, IN
NPI
1861699001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06001226A)
Enumeration Date
2007-06-29
Last Update Date
2007-07-08
Business Address
Mrs. SUSAN D SMITH PTA
801 S STATE ROAD 57
WASHINGTON, IN 47501-4373
Phone number: 812-254-4516
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Mailing Address
Mrs. SUSAN D SMITH PTA
1885 S 75 E
WASHINGTON, IN 47501-8015
Phone number: 812-254-6945
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