Individual
WILLIAM RUSSELL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11301 CORPORATE BLVD, SUITE 101, ORLANDO, FL 32817-8354
(877) 896-3660
Mailing address
2625 SW 75TH ST, APT 1201, GAINESVILLE, FL 32608-8336
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA6946
FL
Other
Enumeration date
07/09/2009
Last updated
08/20/2009
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