Individual
CASEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
256 PINE CREEK AVE, JERSEY SHORE, PA 17740-7648
(570) 244-1249
Mailing address
256 PINE CREEK AVE, JERSEY SHORE, PA 17740-7648
(570) 244-1249
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006645
PA
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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