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Individual

TRACI LANE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LOTR

Contact information

Practice address
6723 JEFFERSON HWY, BATON ROUGE, LA 70806-8106
(225) 926-2400
Mailing address
26300 LA 441 HWY, HOLDEN, LA 70744-6004

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary

Other

Enumeration date
03/20/2019
Last updated
03/20/2019
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