Individual
MS. JAHANNA NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
299 CARPENTER ST UNIT 304, PROVIDENCE, RI 02909-1400
(401) 450-2515
Mailing address
299 CARPENTER ST UNIT 304, PROVIDENCE, RI 02909-1400
(401) 450-2515
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12379
MA
225X00000X
Occupational Therapist
OT01738
RI
Other
Enumeration date
07/08/2014
Last updated
03/06/2019
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