Individual
ANDREA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2110 CROSSOVER DR, CUMMING, GA 30040-9636
(901) 282-9634
Mailing address
2110 CROSSOVER DR, CUMMING, GA 30040-9636
(901) 282-9634
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005758
GA
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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