Individual
MRS. LISA MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1515 W PLEASANT ST, KNOXVILLE, IA 50138-3399
(641) 842-3101
(641) 828-5383
Mailing address
1515 W PLEASANT ST, KNOXVILLE, IA 50138-3399
(641) 842-3101
(641) 828-5383
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6373
NC
Other
Enumeration date
04/10/2009
Last updated
04/10/2009
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