Individual
MISTY DAWN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
330 BROADWAY ST E, CUYAHOGA FALLS, OH 44221-3312
(330) 945-9797
Mailing address
330 BROADWAY ST E, CUYAHOGA FALLS, OH 44221-3312
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.06177
OH
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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