Individual
MRS. AMY J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321
(219) 836-1600
(219) 836-6752
Mailing address
521 AUSTGEN PL, DYER, IN 46311-1472
(219) 864-4338
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31002155A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200614560
FIRST STEPS
IN
05
—
200713210A
—
IN
05
—
200830400
—
IN
Enumeration date
01/25/2007
Last updated
06/19/2018
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