Individual
MR. ANDREW PATRICK SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
201 S 14TH ST, HERRIN, IL 62948-3631
(618) 942-2171
Mailing address
320 CLINE LANE, VIENNA, IL 62995
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.010267
IL
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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