Individual
CARLTON SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
922 HARBOR AVE, SOUTH BEND, IN 46615-3426
(574) 315-6093
Mailing address
922 HARBOR AVE, SOUTH BEND, IN 46615-3426
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007737A
IN
Other
Enumeration date
05/22/2024
Last updated
05/07/2025
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