Individual
MRS. JESSICA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2054 FLAT ROCK RD, AUBURN, KY 42206-9600
(502) 777-4288
Mailing address
2054 FLAT ROCK RD, AUBURN, KY 42206-9600
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R5364
KY
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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