Individual
ALLISON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
33 SEWALL ST, PORTLAND, ME 04102-2603
(207) 828-2121
(207) 828-2193
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800
(207) 828-2193
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT410
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801866926
—
ME
Enumeration date
01/23/2006
Last updated
09/08/2021
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