Individual
MR. JORGE EDGARDO SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
7950 MARTIN LUKE, MARTIN ARMY COMMUNITY HOSPITAL, FORT BENNING, GA 31905
(706) 544-2239
Mailing address
1904 TRANQUIL LN, PHENIX CITY, AL 36867-8547
(253) 970-1173
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
—
TX
Other
Enumeration date
01/05/2006
Last updated
11/09/2009
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