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Individual

TRUDY E SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.T.

Contact information

Practice address
10452 SILVERDALE WAY NW, SILVERDALE, WA 98383-9411
(360) 307-7526
(360) 307-7530
Mailing address
PO BOX 34581, SEATTLE, WA 98124-1581
(509) 241-7349
(509) 241-7628

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00002191
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
233826
LNI
WA
05
8395329
WA
Enumeration date
01/18/2007
Last updated
07/10/2009
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