Individual
AUBREY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
456 NE BROCKTON DR, LEES SUMMIT, MO 64064-1615
(601) 754-8394
Mailing address
456 NE BROCKTON DR, LEES SUMMIT, MO 64064-1615
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2019034338
MO
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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