Individual
CARISSA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2980 WILLIAM ST LOWR, CHEEKTOWAGA, NY 14227-1918
(716) 892-2060
Mailing address
17 GEARY ST LOWR, BUFFALO, NY 14210-2327
(716) 536-9994
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
NY
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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