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Individual

DR. MISHAYLA JANAE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
14409 GREENVIEW DR STE 102, LAUREL, MD 20708-4213
(301) 498-8100
Mailing address
1665 CROFTON CTR, CROFTON, MD 21114-1318
(926) 941-0774

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
09338
MD

Other

Enumeration date
07/07/2021
Last updated
09/21/2021
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