Individual
AMANDA C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
50 GOLD STAR BLVD, WORCESTER, MA 01606-2812
(508) 856-9510
(508) 853-1907
Mailing address
50 GOLD STAR BLVD, WORCESTER, MA 01606-2812
(508) 856-9510
(508) 853-1907
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4214
MA
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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