Individual
MS. SUSAN LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
316 N MILWAUKEE ST, SUITE 208, MILWAUKEE, WI 53202-5885
(414) 264-5690
Mailing address
316 N MILWAUKEE ST, SUITE 208, MILWAUKEE, WI 53202-5885
(414) 264-5690
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1051-27
WI
Other
Enumeration date
04/30/2010
Last updated
04/30/2010
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