Individual
MRS. RENE K SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 774-3300
Mailing address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104537
MN
Other
Enumeration date
06/22/2016
Last updated
12/07/2018
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