Individual
AMANDA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/R
Contact information
Practice address
8 ANVIL DR, CUMBERLAND, RI 02864-6138
(401) 575-1118
Mailing address
8 ANVIL DR, CUMBERLAND, RI 02864-6138
(401) 575-1118
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
11460
MA
225X00000X
Occupational Therapist
Primary
OT01559
RI
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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