Individual
TERESA J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
22 BRAMHALL STREET, PORTLAND, ME 04102-4114
(207) 662-4892
Mailing address
278 TUTTLE RD., CUMBERLAND, ME 04021-7574
(207) 400-1340
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT-5619
OH
225X00000X
Occupational Therapist
Primary
OT3440
ME
Other
Enumeration date
02/20/2009
Last updated
08/01/2019
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