Individual
ZACHARY S SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.T.R.
Contact information
Practice address
812 S GARFIELD AVE STE 1, TRAVERSE CITY, MI 49686-3456
(231) 421-9201
Mailing address
4608 CHURCH ST SW, SOUTH BOARDMAN, MI 49680-9762
(231) 388-1544
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
5201008391
MI
Other
Enumeration date
10/30/2012
Last updated
10/21/2019
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