Individual
JENNIFER NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2010 W CHESTER PIKE STE 425, HAVERTOWN, PA 19083-2740
(610) 789-9815
Mailing address
PO BOX 34990, BELFAST, ME 04915-0627
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC017657
PA
225XH1200X
Hand Occupational Therapist
Primary
OC017657
PA
Other
Enumeration date
06/27/2021
Last updated
06/24/2024
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