Individual
MS. LAKEISHA MONIQUE SMITH I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 N BROOM ST, WILMINGTON, DE 19806-4624
(302) 654-8400
Mailing address
128 CANNONBALL LN, NEWARK, DE 19702-3096
(646) 234-7608
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
014382-1
NY
225XP0019X
Physical Rehabilitation Occupational Therapist
U10001217
DE
Other
Enumeration date
02/18/2009
Last updated
04/19/2019
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