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Individual

TARA MARIE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
423 MAIN ST, DUNKIRK, NY 14048-2720
(716) 366-3417
(716) 366-3568
Mailing address
10034 SAWMILL RUN ROAD, LITTLE VALLEY, NY 14756
(716) 338-3791

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004848-1
NY

Other

Enumeration date
03/12/2009
Last updated
03/12/2009
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