Individual
SAMANTHA E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1879 FERONIA AVE, SAINT PAUL, MN 55104-3549
(651) 646-4061
Mailing address
962 JACKSON ST, SAINT PAUL, MN 55117-5055
(651) 500-4024
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105859
MN
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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