Individual
ERICA RENEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22424 S ELLSWORTH LOOP RD, QUEEN CREEK, AZ 85142-7026
(480) 757-2253
Mailing address
2450 S EL DORADO, MESA, AZ 85202-7306
(480) 369-0728
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
AZ
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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