Individual
MICHAELA K SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
08457
MD
225X00000X
Occupational Therapist
12893
MA
225X00000X
Occupational Therapist
2936
NH
225X00000X
Occupational Therapist
Primary
OT3919
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08457
OCCUPATIONAL THERAPY LICENSE
MD
01
—
12893
OCCUPATIONAL THERAPY LICENSE
MA
01
—
2936
OCCUPATIONAL THERAPY LICENSE
NH
01
—
OT3919
OCCUPATIONAL THERAPY LICENSE
ME
Enumeration date
04/11/2018
Last updated
06/17/2021
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