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Individual

MR. JEROME LEE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
1105 PERRY HWY, PITTSBURGH, PA 15237-2114
(412) 369-9955
Mailing address
1105 PERRY HWY, PITTSBURGH, PA 15237-2114

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OPOO3078L
PA

Other

Enumeration date
10/09/2008
Last updated
10/09/2008
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