Individual
TRENDA LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
55378 WILBUR RD, THREE RIVERS, MI 49093-8815
(269) 279-7441
(269) 279-7244
Mailing address
55378 WILBUR RD, THREE RIVERS, MI 49093-8815
(269) 279-7441
(269) 279-7244
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007820
MI
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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