Individual
JOSEPH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
177 N HIGHLAND ST, MEMPHIS, TN 38111-4747
(901) 325-4000
Mailing address
288 E POWELL RD, COLLIERVILLE, TN 38017-1565
(901) 618-1339
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3281
TN
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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