Individual
MRS. MALINDA LOU SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
395 HARDING ST, DEFIANCE, OH 43512-1315
(419) 784-1450
(419) 784-9190
Mailing address
3710 MOSER RD, DEFIANCE, OH 43512-9147
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004858
OH
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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