Individual
CHANDRA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
324 NE CAMELIA WAY, MADISON, FL 32340-4155
(850) 973-7167
Mailing address
324 NE CAMELIA WAY, MADISON, FL 32340-4155
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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