Individual
MISS PADRA LYNN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
130 WILLIAM ST STE 641, NEW YORK, NY 10038-3806
(832) 385-1430
Mailing address
217 WARREN ST APT 3, JERSEY CITY, NJ 07302-4469
(832) 385-1430
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
012709-1
NY
225XP0200X
Pediatric Occupational Therapist
46TR00436400
NJ
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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