Individual
JEFFERY DAVID SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
1255 W SILVERBELL RD, LAKE ORION, MI 48359-1345
(248) 391-0900
Mailing address
244 WOODVIEW CT APT 308, ROCHESTER HILLS, MI 48307-4193
(734) 308-3482
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009064
MI
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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