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Scott Eric Smith, OTR

Occupational Therapist in South Haven, MI. Individual provider (NPI-1).

NPI number1639730948
StatusActive
Last updated in NPPESJun 26, 2019

Details

NPI
1639730948
Entity type
Individual (NPI-1)
Name
Scott Eric Smith
Credential
OTR
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 26, 2019
Last updated
Jun 26, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist5201002385MIYes

Practice location

955 S Bailey Ave
South Haven, MI 49090-6743

Phone 269-639-2929 · Fax 269-639-2928

Mailing address

955 S Bailey Ave
South Haven, MI 49090-6743

Phone 269-639-2929 · Fax 269-639-2928

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