Individual
REBECCA A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH THERAPIST
Contact information
Practice address
423 SHERRILL RD, SHERRILL, NY 13461-1226
(315) 982-0476
Mailing address
423 SHERRILL RD, SHERRILL, NY 13461-1226
(315) 982-0476
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
873743
NY
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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