Individual
JANA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 PYOTT RD STE 109, LAKE IN THE HILLS, IL 60156-9796
(184) 779-1551
Mailing address
1301 PYOTT RD STE 109, LAKE IN THE HILLS, IL 60156-9796
(184) 779-1551
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056008336
IL
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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