Individual
JESSICA T SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
851 PROFESSIONAL PARK DR, CLARKSVILLE, TN 37040-5257
(931) 999-7400
(931) 999-7408
Mailing address
851 PROFESSIONAL PARK DR, CLARKSVILLE, TN 37040-5257
(931) 999-7400
(931) 999-7408
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7623
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3230
—
TN
Enumeration date
01/24/2019
Last updated
08/09/2023
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