Individual
AMY JANELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1401 LEO ST, DAYTON, OH 45404-1700
(937) 542-6130
Mailing address
4801 SPRINGFIELD ST, DAYTON, OH 45431-1084
(937) 241-6111
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT-6390
OH
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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