Individual
MRS. PAMELA ROSE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, COTA/L
Contact information
Practice address
210 E MILLTOWN RD, WOOSTER, OH 44691-1246
(330) 262-4449
Mailing address
1186 ROYAL OAK CT, MANSFIELD, OH 44906-3546
(419) 543-2226
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
522424
OH
224Z00000X
Occupational Therapy Assistant
Primary
OTA.05079
OH
Other
Enumeration date
11/01/2006
Last updated
04/15/2014
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