Individual
MRS. AMIE MARLENA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3001 PALM COAST PKWY SE, PALM COAST, FL 32137-8209
(386) 446-6060
Mailing address
12 TWIN RIVERS DR, ORMOND BEACH, FL 32174-4838
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10121
FL
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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