Individual
SHANNON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
130 HOSPITAL RD STE 103, PRINCE FREDERICK, MD 20678-4029
(410) 535-8180
Mailing address
130 HOSPITAL RD STE 103, PRINCE FREDERICK, MD 20678-4029
(410) 535-8180
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
09918
MD
225XP0200X
Pediatric Occupational Therapist
09918
MD
Other
Enumeration date
03/08/2023
Last updated
03/27/2023
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