Individual
ALICIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 JETT DR, JACKSON, KY 41339-9621
(606) 666-2456
Mailing address
420 JETT DR, JACKSON, KY 41339-9621
(606) 666-2456
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
164753
KY
224Z00000X
Occupational Therapy Assistant
—
KY
Other
Enumeration date
02/07/2020
Last updated
01/25/2023
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