Individual
ALEXANDRA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
159 W MAIN ST, NEWARK, OH 43055-5007
(740) 763-0408
Mailing address
11177 LAMBS LN, NEWARK, OH 43055-9779
(740) 763-0408
(740) 763-0475
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007578
OH
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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