Individual
ASHLEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8780 OLD LEBANON TROY RD, TROY, IL 62294-3006
(618) 420-3657
Mailing address
2906 HIGHWAY AVE, HIGHLAND, IN 46322-1631
(219) 513-8311
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057003696
IL
Other
Enumeration date
12/13/2015
Last updated
12/13/2015
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