Individual
MARY LOUISE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1833 ANDREW CT NW, CORYDON, IN 47112-6974
(831) 297-0490
(831) 297-0490
Mailing address
1833 ANDREW COURT, NW, CORYDON, IN 47112
(831) 297-0490
(831) 297-0490
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006839A
IN
Other
Enumeration date
12/15/2022
Last updated
04/29/2026
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