Individual
CAROL ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
2333 N BRENTWOOD CIR, LECANTO, FL 34461-8536
(352) 746-6600
Mailing address
5948 W POTOMAC LN, HOMOSASSA, FL 34448-2143
(352) 201-5968
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA9395
FL
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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