Individual
MRS. KARLY DANIELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTRL
Contact information
Practice address
46200 PORT ST, PLYMOUTH, MI 48170-6048
(734) 454-0866
Mailing address
36722 RICHLAND ST, LIVONIA, MI 48150-2510
(734) 365-3556
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009953
MI
Other
Enumeration date
08/26/2017
Last updated
07/10/2019
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