Individual
JENNIFER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
60 JEFFERSON ST, MONTICELLO, NY 12701-1122
(845) 794-7700
Mailing address
21 JACKE LN, HIGHLAND LAKE, NY 12743-5012
(845) 428-4370
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011628
NY
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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