Individual
MEGAN BROOKE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1900 LAUDERDALE DR, RICHMOND, VA 23238-3933
(804) 521-9271
Mailing address
113 S DAVIS AVE APT 6120, RICHMOND, VA 23220-5156
(336) 803-1694
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007567
VA
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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