Individual
MS. JESSICA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
111 SWITZGABLE DR, BRODHEADSVILLE, PA 18322-7120
(610) 861-8080
Mailing address
111 SWITZGABLE DR, BRODHEADSVILLE, PA 18322-7120
(610) 861-8080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC015190
PA
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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