Individual
MRS. SHERETTA L GAMBLE-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
409 E 10TH ST, ANNISTON, AL 36207-4780
(256) 238-0110
(256) 238-5143
Mailing address
1690 SHELBY DR, SOUTHSIDE, AL 35907-0628
(256) 547-1387
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1650
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1650
OT LICENSE
AL
Enumeration date
12/15/2006
Last updated
07/08/2007
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