Individual
DAVID SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1485 INTERNATIONAL PKWY, 2051, HEATHROW, FL 32746-5303
(800) 798-6035
Mailing address
3709 HORSESHOE MESA ST, LAS VEGAS, NV 89147-8039
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0091
NV
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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