Individual
DIANE MARIE SMOOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2 MANOR BLVD, MIFFLINTOWN, PA 17059-8757
(717) 436-2178
(717) 436-6806
Mailing address
223 CORNFIELD CIR, LEWISTOWN, PA 17044-9750
(717) 248-3579
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC002407L
PA
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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