Individual
JENNA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2365 PATRIOT HTS, COLORADO SPRINGS, CO 80904-5122
(719) 659-6662
Mailing address
5030 HERNDON CIR, COLORADO SPRINGS, CO 80920-7050
(719) 659-6662
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
CO
Other
Enumeration date
06/23/2017
Last updated
06/23/2017
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