Individual
MRS. SHARRON BUSH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.O.T.R.
Contact information
Practice address
102 RAPHAEL DR, LAFAYETTE, LA 70508-5952
(337) 849-7431
Mailing address
102 RAPHAEL DR, LAFAYETTE, LA 70508-5952
(337) 849-7431
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z10814
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306843
—
LA
Enumeration date
05/07/2007
Last updated
12/08/2019
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