Individual
ALEXA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3131 S MAIN ST, MOULTRIE, GA 31768-6925
(229) 985-3420
Mailing address
PO BOX 40, MOULTRIE, GA 31776-0040
(229) 985-3420
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006663
GA
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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