Individual
JESSICA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
801 HUNTINGTON AVE, WARREN, IN 46792-9402
(260) 375-2201
Mailing address
209 E MCKENZIE RD, GREENFIELD, IN 46140-1106
(765) 661-1552
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006300A
IN
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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