Individual
MRS. TINA MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
320 S MARKET ST, ELIZABETHTOWN, PA 17022-2422
(717) 367-1377
(717) 367-1290
Mailing address
320 S MARKET ST, ELIZABETHTOWN, PA 17022-2422
(717) 367-1377
(717) 367-1290
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP003128L
PA
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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