Individual
DENISE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
946 NY-17 K, MONTGOMERY, NY 12549
(845) 457-2400
Mailing address
14 MILLIKEN LN, WALDEN, NY 12586-2938
(845) 775-7095
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009359
NY
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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