Individual
MARY SMET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1440 N 7TH ST, MANITOWOC, WI 54220-2073
(920) 682-0314
(920) 683-0120
Mailing address
1440 N 7TH ST, MANITOWOC, WI 54220-2073
(920) 682-0314
(920) 683-0120
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1155-27
WI
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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