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Individual

JOAN MARIE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
1140 N STATE ST, SAINT IGNACE, MI 49781-1048
(906) 643-0450
Mailing address
2472 ASHMUN ST, SAULT S MARIE, MI 49783-3768
(906) 635-4426

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
5201001479
MI

Other

Enumeration date
03/14/2018
Last updated
03/14/2018
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