Individual
MRS. JESSICA MUELLER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10 KEIBEL ROAD, WHITNEY POINT, NY 13862
(607) 692-8241
(607) 692-8297
Mailing address
PO BOX 249, WHITNEY POINT, NY 13862-0249
(607) 692-8241
(607) 692-8297
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
010787-1
NY
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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