MEDICARE: MELANIE SMETONA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	46TA09150900	NJ

General Provider Information

NPI Number	:	1598357220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE SMETONA

Provider Business Mailing Address
First Line	:	402 3RD AVE
Second Line	:
City	:	HADDON HEIGHTS
State	:	NJ
Zip	:	08035-1416
Country	:	US
Telephone Number	:	856-831-3016
Fax Number	:

Provider Business Practice Location Address
First Line	:	402 3RD AVE
Second Line	:
City	:	HADDON HEIGHTS
State	:	NJ
Zip	:	08035-1416
Country	:	US
Telephone Number	:	856-831-3016
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2021
Last Update Date	:	02/04/2021

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Directions to “ MELANIE SMETONA ” Practice Location

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