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Individual

MS. LORI RENEE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTA/L

Contact information

Practice address
6801 MIDDLEBROOK PIKE, KNOXVILLE, TN 37909-1152
(865) 588-7661
Mailing address
10133 SHERRILL BLVD, KNOXVILLE, TN 37932-3347
(888) 531-2204

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1407
TN

Other

Enumeration date
01/14/2019
Last updated
01/14/2019
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