Individual
MEAGAN L SMITH
Active
Individual
MEAGAN L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT1703
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06374509
—
MS
Enumeration date
01/21/2009
Last updated
07/10/2009
Update your record
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