Individual
MRS. ANDREA MICHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1980 OLD GREENSBURG RD, CAMPBELLSVILLE, KY 42718-2536
(270) 465-3506
(270) 789-4010
Mailing address
1525 NEWTON LN, CAMPBELLSVILLE, KY 42718-9287
(270) 469-9720
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2748
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457424160
—
KY
Enumeration date
07/03/2007
Last updated
07/08/2007
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