Individual
WESLEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
59 SUMMER ST, REHOBOTH, MA 02769-2221
(508) 252-5814
Mailing address
559 HIXVILLE RD, DARTMOUTH, MA 02747-1561
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4218
MA
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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