Individual
VIRGINIA R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR
Contact information
Practice address
3211 E MOORES PIKE, BLOOMINGTON, IN 47401-7129
(812) 330-6715
Mailing address
4350 E JANET DR, BLOOMINGTON, IN 47401-8541
(812) 327-7314
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004849A
IN
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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