Individual
DARCIE L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
145 N QUENTIN RD, NEWARK, OH 43055-4623
(740) 349-6084
Mailing address
145 N QUENTIN RD, NEWARK, OH 43055-4623
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA007579
OH
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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