Individual
JENNIE B SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1321 COLBY AVE, EVERETT, WA 98201-1665
(425) 261-2000
Mailing address
4603 152ND PL SE, BOTHELL, WA 98012-6101
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003560
WA
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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