Individual
PATRICIA LOUISE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6929 MATTHEW PL, SPRINGFIELD, VA 22151-3607
(703) 813-1800
Mailing address
904 W BRADDOCK RD, ALEXANDRIA, VA 22302-3226
(913) 526-6584
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119004047
VA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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