Individual
HEATHER NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
7723 JASPER AVE, JACKSONVILLE, FL 32211-7719
(904) 725-8044
Mailing address
1050 BELLA VISTA BLVD APT 106, SAINT AUGUSTINE, FL 32084-1290
(513) 206-6401
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21624
FL
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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