Individual
ZACH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8000
Mailing address
3028 WOODHAVEN DR, DE PERE, WI 54115-8186
(920) 639-7951
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
822626
WI
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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