Individual
MR. BILLY G SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 GARDEN HEIGHTS RD, HARRISBURG, IL 62946-5202
(618) 841-2229
Mailing address
415 GARDEN HEIGHT RD., HARRISBURG, IL 62946
(618) 841-2229
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208829
IL
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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