Individual
MRS. CHARLOTTE RUTH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8055 ADDISON RD, MASURY, OH 44438-1204
(330) 448-6964
Mailing address
600 S BROAD ST, KENNETT SQUARE, PA 19348-3346
(813) 558-6503
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA02739
OH
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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