Individual
MS. TAYLOR LEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
100 KEOKEA PL, KULA, HI 96790-7450
(808) 878-1221
Mailing address
4 ROSSMAN DR, WEBSTER, NY 14580-2151
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
020042-1
NY
225X00000X
Occupational Therapist
Primary
1616
HI
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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