Basic Information
| Provider Information | |||||||||
| NPI: | 1689033755 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SMITH | ||||||||
| FirstName: | BARBARA | ||||||||
| MiddleName: | P. | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 20 OVERBROOK DR STE D | ||||||||
| Address2: | |||||||||
| City: | MONROE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 450501147 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5135392886 | ||||||||
| FaxNumber: | 8774307975 | ||||||||
| Practice Location | |||||||||
| Address1: | 5900 LONG MEADOW DR | ||||||||
| Address2: | |||||||||
| City: | MIDDLETOWN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 450059687 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5134209999 | ||||||||
| FaxNumber: | 8774307975 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/18/2016 | ||||||||
| LastUpdateDate: | 02/18/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT 016137 | OH | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.