Individual
JENNIFER ANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
5129 HILLTOP RD, EVERETT, WA 98203-3163
(425) 258-4474
Mailing address
11118 20TH DR SE, EVERETT, WA 98208-5285
(206) 356-0266
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
00000285
WA
Other
Enumeration date
09/02/2017
Last updated
09/02/2017
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