Individual
JOAQUINA SMOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1306 WHETSTONE DR, GREENFIELD, IN 46140-2680
(414) 813-1246
Mailing address
1306 WHETSTONE DR, GREENFIELD, IN 46140-2680
(414) 813-1246
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005774A
IN
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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