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Individual

MRS. BRYNN SHELLENE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
45 FOREST CV, JACKSON, TN 38301-4366
(731) 424-4200
Mailing address
51 WEXFORD CV, THREE WAY, TN 38343-8633
(731) 694-0668

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4603
TN

Other

Enumeration date
12/26/2012
Last updated
12/26/2012
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