Individual
MS. DANIELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
164 NW MADISON ST, LAKE CITY, FL 32055-3904
(386) 758-1811
Mailing address
164 NW MADISON ST, LAKE CITY, FL 32055-3904
(386) 758-1811
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 17465
FL
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
01/19/2016
Last updated
04/04/2025
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