Individual
MS. CHRISTINA SW SMETHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL CHT
Contact information
Practice address
1690 US HIGHWAY 1 S STE A, ST AUGUSTINE, FL 32084-6024
(904) 810-2101
(904) 810-2106
Mailing address
208 MOSES CREEK BLVD, ST AUGUSTINE, FL 32086-5675
(561) 319-7361
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 731
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
880568700
—
FL
01
—
AG243
MEDICARE PTAN GROUP
FL
01
—
AG424Z
MEDICARE PTAN
FL
Enumeration date
09/02/2006
Last updated
04/12/2023
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