Individual
JESSICA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OT/L
Contact information
Practice address
800 N LAKE DR, LEXINGTON, SC 29072-2903
(877) 407-3422
Mailing address
85 MIDDLE RD, CUMBERLAND, ME 04021-3707
(207) 829-8007
(207) 829-8008
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3906
SC
225XP0200X
Pediatric Occupational Therapist
TO2555
ME
Other
Enumeration date
09/02/2011
Last updated
12/27/2024
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