Mary Smith

NPI #1346648540 in Hudson, Wisconsin

Provider Information

NPI Number
1346648540
Entity Type
Individual
Name
Mary Smith
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
Dec 21, 2014
Last Updated
Dec 21, 2014

Practice Location

Address
1320 WISCONSIN ST
City
Hudson
ZIP Code
54016-1861
Phone
(715) 386-4528

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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