Individual
MR. MATTHEW JAMES SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
3491 S HURON RD, BAY CITY, MI 48706-1547
(989) 667-6469
Mailing address
304 BROADHEAD DR, MIDLAND, MI 48642-8103
(989) 295-1291
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003229
MI
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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