Individual
TANYA O SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
254 PLEASANT ST, CONCORD, NH 03301-2551
(603) 226-9861
Mailing address
254 PLEASANT ST, CONCORD, NH 03301-2551
(603) 226-9861
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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