Individual
MELISSA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
300 N MAIN ST, STE 304, WICHITA, KS 67202-1505
(316) 250-0225
(316) 685-4189
Mailing address
135 N CRESTWAY ST, WICHITA, KS 67208-3839
(316) 250-0225
(316) 685-4189
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1700369
KS
Other
Enumeration date
03/16/2007
Last updated
02/06/2017
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