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Individual

MISS ASHLEY ELLEN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
3025 ARBOR STATION CT, BALLWIN, MO 63021-7187
(314) 814-1665
Mailing address
3025 ARBOR STATION CT, BALLWIN, MO 63021-7187
(314) 814-1665

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
2009014001
MO
225X00000X
Occupational Therapist
Primary
2009014001
MO

Other

Enumeration date
08/05/2013
Last updated
09/12/2016
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