Individual
BRITTANY NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
962 MANOR RD, STATEN ISLAND, NY 10314-7011
(718) 982-5944
(718) 494-2724
Mailing address
74 4TH AVE, GARWOOD, NJ 07027-1113
(908) 418-0254
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
017571-1
NY
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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