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Individual
JENNI SMITH
Active
Individual
JENNI SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
OTA.03954
OH
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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