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Individual

JESSICA L SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
900 E BROADWAY AVE, BISMARCK, ND 58501
(701) 530-7000
(701) 530-8842
Mailing address
128 SOO LINE DR, BISMARCK, ND 58501-3339
(701) 323-4550

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
886
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
886
ND OT LICENSE
ND
Enumeration date
01/23/2008
Last updated
03/06/2025
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