Individual
BRENDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
179 DIECKMAN RD, CHEHALIS, WA 98532-9614
(360) 748-3384
Mailing address
PO BOX 35, ADNA, WA 98522-0035
(360) 748-3384
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 60611398
WA
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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