Individual
LINDY MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
33300 UTICA RD, FRASER, MI 48026-2017
(586) 293-3300
Mailing address
39664 SHORELINE DR, HARRISON TWP, MI 48045-1642
(586) 212-1219
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008531
MI
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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