Shane Smith, OT

NPI #1013329291 in Portland, Maine

Provider Information

NPI Number: 1013329291
Entity Type: Individual
Name: Shane Smith, OT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: May 22, 2014
Last Updated: May 22, 2014

Practice Location

Address: 587 OCEAN AVE
City: Portland
State: Maine
ZIP Code: 04103-2701
Phone: (207) 871-1211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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