Individual
JENNIFER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2 DUDLEY ST, SUITE 200, PROVIDENCE, RI 02905-3236
(401) 457-1580
(401) 831-0500
Mailing address
2 DARTMOUTH AVE, WARWICK, RI 02888-4416
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT00184
RI
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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