Individual
MISS ABBY LOU SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
743 MAHONING ST, MILTON, PA 17847-2232
(570) 742-2681
Mailing address
RR 1 BOX 248E, SUNBURY, PA 17801-9776
(570) 286-5180
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP001300L
PA
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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