Individual
LAURA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1538 TEYTONWELL RD, STANFORD, KY 40484
(606) 706-0028
Mailing address
642 N 3RD ST, DANVILLE, KY 40422-1125
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
KY R-2654
KY
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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