Individual
ELAINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
390 NORTH MARKET STREET EXTENDED, SEAFORD, DE 19973-2612
(302) 629-4587
Mailing address
314 S CENTRAL AVE, LAUREL, DE 19956-1525
(302) 629-4587
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
03332
MD
225X00000X
Occupational Therapist
Primary
U10000239
DE
Other
Enumeration date
06/23/2008
Last updated
07/28/2015
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