Individual
MS. JOANN LUCILLE SMITHSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
126 SHANNON ST, EAST PRAIRIE, MO 63845-1540
(573) 649-3136
Mailing address
126 SHANNON ST, EAST PRAIRIE, MO 63845-1540
(573) 649-3136
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1999140385
MO
Other
Enumeration date
03/06/2008
Last updated
03/06/2008
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