Individual
MS. JENNIFER LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
800 E 28TH ST, MAIL ROUTE 12213, MINNEAPOLIS, MN 55407-3723
(612) 863-9538
Mailing address
570 CRESTVIEW DR S, MAPLEWOOD, MN 55119-6724
(612) 863-9538
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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