Individual
MRS. MARY C SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1015 UNITY RD, CROSSETT, AR 71635-9443
(870) 364-1243
(870) 364-1483
Mailing address
1015 UNITY RD, CROSSETT, AR 71635-9443
(870) 364-1243
(870) 364-1483
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR388
AR
Other
Enumeration date
08/15/2007
Last updated
08/16/2007
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