Individual
MS. LA REINA JACINTH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6612-18 BERGENLINE AVENUE, WEST NEW YORK, NJ 07093
(201) 854-5511
Mailing address
300B TERRACE AVE, HASBROUCK HEIGHTS, NJ 07604
(201) 952-4360
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00552400
NJ
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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