Individual
SARA JEANETTE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
54765 NOTTAWA RD, MENDON, MI 49072-9547
(260) 214-1258
Mailing address
54765 NOTTAWA RD, MENDON, MI 49072-9547
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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