Individual
MR. SAMUEL M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1501 SE 24TH RD, OCALA, FL 34471-6005
(352) 629-8900
Mailing address
1501 SE 24TH RD, OCALA, FL 34471-6005
(352) 629-8900
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12493
FL
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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