Individual
ETHAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
2350 S WADE DR UNIT 2090, GILBERT, AZ 85295-0453
(801) 372-7114
Mailing address
2350 S WADE DR UNIT 2090, GILBERT, AZ 85295-0453
(801) 372-7114
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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