Individual
TAMARA T SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
7721 W SHERIDAN AVE, APT B, MILWAUKEE, WI 53218-2642
(414) 223-2616
Mailing address
7721 W SHERIDAN AVE, APT B, MILWAUKEE, WI 53218-2642
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.006849
IL
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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