Individual
DAVID MICHAEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3000 NORTHWOODS PKWY, NORCROSS, GA 30071-4708
(678) 993-2304
Mailing address
3000 NORTHWOODS PKWY, NORCROSS, GA 30071-4708
(678) 993-2304
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 12128
CA
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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