Individual
REBECKA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
193 SAM LISENBY RD, OZARK, AL 36360-3048
(334) 445-6336
Mailing address
193 SAM LISENBY RD, OZARK, AL 36360-3048
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3720
AL
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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