Individual
MELISSA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 MAIN ST STE 130, DAWSONVILLE, GA 30534-4354
(706) 344-1323
Mailing address
6397 LEE HWY, CHATTANOOGA, TN 37421-2564
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008237
GA
Other
Enumeration date
10/19/2021
Last updated
09/26/2022
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