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Individual

MELODEE JOY SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS OTR/L

Contact information

Practice address
5740 SARAH RD, FALLON, NV 89406-2363
(262) 951-0131
(262) 951-0131
Mailing address
5740 SARAH RD, FALLON, NV 89406-2363
(262) 951-0131

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12-058
NV

Other

Enumeration date
02/14/2018
Last updated
02/14/2018
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