Individual
WENDY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR
Contact information
Practice address
3132 W SHOREWOOD DR, LA PORTE, IN 46350-7516
(219) 324-8693
(219) 324-8693
Mailing address
3132 W SHOREWOOD DR, LA PORTE, IN 46350-7516
(219) 324-8693
(219) 324-8693
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000490A
IN
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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