Individual
PETER A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
42 N MOUNTAIN AVE, MONTCLAIR, NJ 07042-2318
(973) 783-9400
Mailing address
134 LINDEN AVE, SPRINGFIELD, NJ 07081-1833
(973) 309-0487
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00085500
NJ
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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