Individual
MIRANDA GRACE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
980 POPLAR AVE, MEMPHIS, TN 38105-4614
(901) 287-4300
Mailing address
6389 CLARKSON CIR W, ARLINGTON, TN 38002-1228
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7477
TN
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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