Individual
MS. JEAN M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
209 POVERTY LN, LEBANON, NH 03766-2708
(603) 359-0119
Mailing address
209 POVERTY LN, LEBANON, NH 03766-2708
(603) 359-0119
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0713
NH
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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