Individual
MRS. JENNIFER SIMPSON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 W MAIN ST, COVINGTON, VA 24426-1517
(409) 626-2265
(540) 962-7447
Mailing address
320 W MAIN ST, COVINGTON, VA 24426-1517
(540) 962-6226
(409) 627-4475
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119007005
OCCUPATIONAL THERAPIST LICENSE
VA
01
—
356540
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
—
Enumeration date
11/10/2015
Last updated
12/15/2022
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