Individual
PAMELA T SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
11136 STATE ROUTE 118, VAN WERT, OH 45891-8413
(419) 203-6311
Mailing address
11136 STATE ROUTE 118, VAN WERT, OH 45891-8413
(419) 203-6311
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT011814
OH
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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