Individual
MS. DEBRA RUTH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
320 COON RAPIDS BLVD NW STE 100, COON RAPIDS, MN 55433-5640
(952) 908-2580
(952) 908-2581
Mailing address
9645 GROVE CIR N STE 200, MAPLE GROVE, MN 55369-2684
(763) 201-8191
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103798
MN
Other
Enumeration date
11/20/2009
Last updated
05/18/2021
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