Individual
JON SMILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4201 SOUTH GRAND, MONROE, LA 71201-0000
(601) 250-4815
(601) 250-6859
Mailing address
103 MOSSY OAK DR, WEST MONROE, LA 71292-4101
(601) 250-4815
(601) 250-6859
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTAZ20288
LA
Other
Enumeration date
05/17/2007
Last updated
09/30/2008
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