Individual
MITCHELL L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
13037 NE BEL RED RD STE 102, BELLEVUE, WA 98005-2618
(425) 502-9440
Mailing address
14701 NE 4TH PL, BELLEVUE, WA 98007-4914
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC61341591
WA
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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