Individual
MS. MICHELLE MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6 LONG DR, ROCK SPRINGS, WY 82901-3204
(307) 362-2641
Mailing address
6 LONG DR, ROCK SPRINGS, WY 82901-3204
(307) 362-2641
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
431
WY
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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