Individual
JODI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 W CHAPMAN RD, OVIEDO, FL 32765-8895
(407) 790-5601
Mailing address
PO BOX 952123, LAKE MARY, FL 32795-2123
(321) 377-4359
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA18285
FL
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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