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Organization
SMILE HOME THERAPY LLC
Active
Organization
SMILE HOME THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE CLARK (OWNER/MANAGER)
(941) 725-1527
Entity
Organization
Contact information
Practice address
2145 MIDNIGHT PEARL DR, SARASOTA, FL 34240-2416
(941) 725-1527
Mailing address
2145 MIDNIGHT PEARL DR, SARASOTA, FL 34240-2416
(941) 725-1527
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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