Individual
MICHAEL TREA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2312 ELLISTON PL, APT 533, NASHVILLE, TN 37203-5259
(229) 347-2391
Mailing address
2312 ELLISTON PL, APT 533, NASHVILLE, TN 37203-5259
(229) 347-2391
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2805
TN
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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