Individual
MISS CHANDRA FAYE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
503 N MAPLE ST, EFFINGHAM, IL 62401-2099
(217) 342-2121
Mailing address
4545 E 1000TH AVE, ALTAMONT, IL 62411-3414
(618) 322-8588
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056014048
IL
Other
Enumeration date
01/08/2022
Last updated
01/08/2022
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