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Individual

ANITA SMART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
2500 MARTIN LUTHER KING JR BLVD, PANAMA CITY, FL 32405-4412
(850) 522-7951
(850) 522-9829
Mailing address
PO BOX 644, LYNN HAVEN, FL 32444-0644
(850) 832-4072
(850) 522-9829

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3927
FL

Other

Enumeration date
09/05/2014
Last updated
09/05/2014
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