Individual
JAIMIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
1818 AVENUE P, BROOKLYN, NY 11229-1304
(718) 677-0797
Mailing address
123 CHESTNUT DR, WAYNE, NJ 07470-5639
(973) 800-5743
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
899600
NJ
225XP0200X
Pediatric Occupational Therapist
Primary
0223111
NY
Other
Enumeration date
12/28/2019
Last updated
12/28/2019
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