Individual
TERESA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3004 NEW YORK AVE, HALETHORPE, MD 21227-3731
(443) 722-3891
Mailing address
3004 NEW YORK AVE, HALETHORPE, MD 21227-3731
(443) 722-3891
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
04225
MD
Other
Enumeration date
06/18/2014
Last updated
04/24/2019
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