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Individual

JULINA MICHELLE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT/L

Contact information

Practice address
1531 13TH ST, STE G90, COLUMBUS, IN 47201
(765) 448-1758
(765) 448-3898
Mailing address
437 HIGHLAND DR, GREENWOOD, IN 46142
(765) 376-2726
(765) 448-3898

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
31003856A
IN
225XP0200X
Pediatric Occupational Therapist
Primary
31003856A
IN

Other

Enumeration date
12/02/2009
Last updated
02/03/2015
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