Individual
PATRICIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4224 WINNEQUAH RD, MONONA, WI 53716-1043
(608) 358-3976
Mailing address
4224 WINNEQUAH RD, MONONA, WI 53716-1043
(608) 358-3976
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
11134318
WI
225X00000X
Occupational Therapist
Primary
2463-26
WI
Other
Enumeration date
07/19/2006
Last updated
04/04/2014
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