Individual
ALEXIS REBEKAH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
2090 WOODWINDS DR, WOODBURY, MN 55125-2522
(651) 968-5201
(651) 968-5903
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
107418
MN
225X00000X
Occupational Therapist
7206-26
WI
Other
Enumeration date
03/11/2022
Last updated
05/06/2024
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