Individual
LAURICE H SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,OTR, L
Contact information
Practice address
2640 HIGHWAY 70 BLDG 7B, MANASQUAN, NJ 08736-2609
(732) 234-6677
Mailing address
2640 HIGHWAY 70 # 7B, MANASQUAN, NJ 08736-2609
(732) 234-6677
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00175300
NJ
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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