Traci Marie Smith, MS, OTR/L

NPI #1194912428 in Gillette, Wyoming

Provider Information

NPI Number: 1194912428
Entity Type: Individual
Name: Traci Marie Smith, MS, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: MS, OTR/L
Enumeration Date: Oct 1, 2007
Last Updated: Mar 30, 2020

Practice Location

Address: 3100 W LAKEWAY RD STE 1
City: Gillette
State: Wyoming
ZIP Code: 82718-6373
Phone: (307) 622-1242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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