Individual
MRS. LORI P. SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
401 N HAYDEN ST, BELZONI, MS 39038-3639
(662) 247-4446
(662) 247-2772
Mailing address
401 N HAYDEN ST, BELZONI, MS 39038-3639
(662) 247-4446
(662) 247-2772
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0487
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00585096
—
MS
Enumeration date
10/04/2005
Last updated
07/08/2007
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