Individual
SHAUN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
90 MAPLEWOOD DR, LEWISBURG, PA 17837-6307
(570) 523-2941
Mailing address
1122 CAMPBELL ST, WILLIAMSPORT, PA 17701-3025
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC002690L
PA
376G00000X
Nursing Home Administrator
Primary
NH005241L
PA
Other
Enumeration date
03/01/2007
Last updated
09/11/2025
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