MS. Mary Josephine Smith, COTA

NPI #1013176742 in Goshen, Indiana

Provider Information

NPI Number
1013176742
Entity Type
Individual
Name
MS. Mary Josephine Smith, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Jun 6, 2008
Last Updated
Jun 6, 2008

Practice Location

Address
2400 COLLEGE AVE
City
Goshen
State
Indiana
ZIP Code
46528-5010
Phone
(574) 533-0351

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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