Individual
GINA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29540 E 160TH CT, BRIGHTON, CO 80603-8423
(303) 659-2841
Mailing address
29540 E 160TH CT, BRIGHTON, CO 80603-8423
(303) 659-2841
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2153
CO
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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