Individual
STEPHANIE SMOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
108 8TH ST NW, WASECA, MN 56093-1912
(507) 835-2800
Mailing address
19334 540TH AVE, MANKATO, MN 56001-7376
(507) 720-8137
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102685
MN
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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