Individual
MRS. PATRICIA A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3820 W JACKSON ST, MUNCIE, IN 47304-3605
(765) 289-3451
Mailing address
144 E MCDONNEL ST, MONTPELIER, IN 47359-1453
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001383A
IN
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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