Shannon Smith
NPI #1275860926 in Monticello, Mississippi
Provider Information
- NPI Number
- 1275860926
- Entity Type
- Individual
- Name
- Shannon Smith
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Nov 17, 2009
- Last Updated
- Nov 17, 2009
Practice Location
- Address
- 1065 E BROAD ST
- City
- Monticello
- State
- Mississippi
- ZIP Code
- 39654-7703
- Phone
- (601) 587-1211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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