Individual
DR. RAE ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1 DIANE DR., FORT ASHBY, WV 26719
(304) 298-3602
Mailing address
13 SUNNYVIEW DR, PHOENIX, MD 21131-2035
(301) 697-3141
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
04235
MD
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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