Individual
MICHELLE CAROLINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, ITDS CERTIFICATE
Contact information
Practice address
448 ARCH RIDGE LOOP, SEFFNER, FL 33584-3701
(813) 767-7682
Mailing address
2701 N ROCKY POINT DR STE 650, TAMPA, FL 33607-5999
(800) 892-0640
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/17/2008
Last updated
03/17/2018
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