Risty Smith, OTR/L

NPI #1528330065 in Port Saint Lucie, Florida

Provider Information

NPI Number: 1528330065
Entity Type: Individual
Name: Risty Smith, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Jan 30, 2012
Last Updated: Jan 30, 2012

Practice Location

Address: 779 SE WHITMORE DR
City: Port Saint Lucie
State: Florida
ZIP Code: 34984-4569
Phone: (772) 713-5240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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