Individual
MRS. INGRID HOLT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
15 WOODLAND BLVD, CORTLANDT MANOR, NY 10567-1042
(914) 528-0007
(914) 528-0007
Mailing address
15 WOODLAND BLVD, CORTLANDT MANOR, NY 10567-1042
(914) 528-0007
(914) 528-0007
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
006307-1
NY
225XP0200X
Pediatric Occupational Therapist
1218
CT
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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