Individual
SUZANNE M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
544 ROLAND AVE, JACKSON, TN 38301-4302
(731) 421-6950
(731) 421-6999
Mailing address
1804 HIGHWAY 45 BYP, STE 604, JACKSON, TN 38305-4436
(731) 660-8759
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2130
TN
Other
Enumeration date
07/10/2006
Last updated
07/17/2009
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