Individual
REBECCA SUE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, CLT
Contact information
Practice address
1253 LAKE BARKLEY DR, KUTTAWA, KY 42055-6124
(270) 388-2291
(270) 388-0948
Mailing address
420 COPLEN RD, MAYFIELD, KY 42066-6428
(903) 216-8177
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
265527
KY
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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