NPI 1245672146

Amanda Dawn Smalley

Practitioner Physical Disabilities Residential Treatment Facility Columbus, OH

Practice location

Address: 3210 E 5th Ave, Columbus, OH 43219-2806
Phone: (614) 886-4818

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence RW562602 (OH)

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Registry record

NPI: 1245672146
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jul 2013
Record last updated: 22 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.