Individual
JANA RAE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
402 15TH AVE SE, SUITE 100, PUYALLUP, WA 98372-3709
(253) 697-5200
(253) 697-5145
Mailing address
402 15TH AVE SE, SUITE 100, PUYALLUP, WA 98372-3709
(253) 697-5200
(253) 697-5145
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT00004511
WA
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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