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Individual

MRS. CARLA ANN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTA/L

Contact information

Practice address
40 CHAPMAN BLVD, O3, SOMERS POINT, NJ 08244-1636
(609) 317-3610
Mailing address
40 CHAPMAN BLVD, O3, SOMERS POINT, NJ 08244-1636
(609) 317-3610

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09048900
NJ

Other

Enumeration date
01/05/2012
Last updated
01/05/2012
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