Jerry Smith

NPI #1578099131 in Appleton, Wisconsin

Provider Information

NPI Number
1578099131
Entity Type
Individual
Name
Jerry Smith
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
May 2, 2017
Last Updated
May 2, 2017

Practice Location

Address
2125 N SHERRI LIN CT APT G
ZIP Code
54914-1873
Phone
(920) 915-6832

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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