Individual
JENNIFER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1607 S LOCUST AVE, LAWRENCEBURG, TN 38464-4011
(610) 741-5885
Mailing address
3553 MUCKLE BRANCH RD, ETHRIDGE, TN 38456-7016
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6820
TN
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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