Individual
MIKEL MISHELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
112 S ELLIOTT AVE, WENATCHEE, WA 98801-2500
(509) 663-7117
Mailing address
55 N HANFORD AVE, EAST WENATCHEE, WA 98802-4938
(509) 415-8669
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60326297
WA
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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