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Individual

HALEY LOGAN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
6814 SOBBIE RD, PLEASANT VALLEY, MO 64068-9555
(816) 781-5277
Mailing address
9824 N OVERTON ST, KANSAS CITY, MO 64157-7768
(816) 304-6592

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2019013665
MO

Other

Enumeration date
05/24/2019
Last updated
05/24/2019
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