Jacqueline Marie Smith, CTRS

NPI #1013353432 in Dupont, Washington

Provider Information

NPI Number: 1013353432
Entity Type: Individual
Name: Jacqueline Marie Smith, CTRS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Recreation Therapist
Credential: CTRS
Enumeration Date: May 13, 2013
Last Updated: May 13, 2013

Practice Location

Address: 2616 ERWIN AVE
City: Dupont
State: Washington
ZIP Code: 98327-8758
Phone: (951) 966-9949

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Recreation Therapist	225800000X	Primary

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