Individual
ALICIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
4211 HERRERA CT, RANDALLSTOWN, MD 21133-1221
(410) 916-8178
Mailing address
4211 HERRERA CT, RANDALLSTOWN, MD 21133-1221
(410) 916-8178
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
03809
MD
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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