Individual
MISS KIMBERLY SHAWN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
2100 EXETER RD, GERMANTOWN, TN 38138-3966
(901) 757-1350
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-3255
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0000002692
TN
Other
Enumeration date
08/28/2008
Last updated
03/17/2018
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