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Individual

JENNIFER LYNN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2819 N ST JOE AVE, EVANSVILLE, IN 47720-1335
(812) 421-7317
Mailing address
11706 SAWMILL DR, EVANSVILLE, IN 47725-8028
(812) 453-0630

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001608A
IN

Other

Enumeration date
06/05/2017
Last updated
06/05/2017
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