Individual
CONNIE LEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
903 IRON ST, NORWAY, MI 49870-1003
(906) 563-5139
(906) 774-1570
Mailing address
903 IRON ST, NORWAY, MI 49870-1003
(906) 563-5139
(906) 774-1570
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201005739
MI
Other
Enumeration date
07/06/2006
Last updated
10/05/2013
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