Individual
SAMUEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
174 S FREEPORT RD STE 1A, FREEPORT, ME 04032-6160
(207) 865-5520
Mailing address
174 S FREEPORT RD STE 1A, FREEPORT, ME 04032-6160
(207) 865-5520
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT2831
ME
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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