MISS Tasha Kenae Smith, OTR/L

NPI #1083861256 in Mascoutah, Illinois

Provider Information

NPI Number: 1083861256
Entity Type: Individual
Name: MISS Tasha Kenae Smith, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Aug 19, 2008
Last Updated: Aug 19, 2008

Practice Location

Address: 201 S 10TH ST
City: Mascoutah
State: Illinois
ZIP Code: 62258-1736
Phone: (618) 566-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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