Individual
KELLY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
105 TEAKWOOD DR SW, HUNTSVILLE, AL 35801-3454
(256) 881-5000
Mailing address
2182 COLUMBUS CITY RD, SCOTTSBORO, AL 35769-9021
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2027
AL
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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