Individual
ALLISSA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3850 4 MILE RD, BAY CITY, MI 48706-9446
(989) 964-9649
Mailing address
3850 4 MILE RD, BAY CITY, MI 48706-9446
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008470
MI
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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