Individual
MISTY DAWN SMOLARKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
1101 SPRUCE ST, ELLIS, KS 67637
(785) 726-3101
Mailing address
1101 SPRUCE ST, ELLIS, KS 67637-1757
(785) 726-3101
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1702402
KS
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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