Individual
MR. ROBERT WILLIAM SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301-5568
(774) 262-6725
Mailing address
115 WINIFRED AVE, WORCESTER, MA 01602-1552
(774) 262-6725
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
002709
CT
225X00000X
Occupational Therapist
Primary
4030
MA
Other
Enumeration date
03/15/2007
Last updated
07/17/2023
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