Individual
REBECCA LEIGH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1417 N MACK SMITH RD, EAST RIDGE, TN 37412-3973
(423) 899-6370
Mailing address
2502 FOLKNER RD, HIXSON, TN 37343-3439
(423) 618-6522
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4645
TN
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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