Individual
SHAWNDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1 FREEDOM WAY 28, AUGUSTA, GA 30904-6285
(706) 733-0188
Mailing address
1 FREEDOM WAY 28, AUGUSTA, GA 30904-6285
(706) 733-0188
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004779
GA
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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