Individual
NICOLE LEANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
32531 N SCOTTSDALE RD, SUITE 105-162, SCOTTSDALE, AZ 85266-1519
(480) 488-3946
Mailing address
5710 S DRAGOON DR, CHANDLER, AZ 85249-9652
(760) 567-5085
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
4584
AZ
Other
Enumeration date
05/27/2010
Last updated
05/27/2010
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