Healthcare Provider Details

I. General information

NPI: 1942537782
Provider Name (Legal Business Name): MRS. DEVON SMEDLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2009
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 BANK ST
CHESAPEAKE CITY MD
21915-1016
US

IV. Provider business mailing address

227 BANK ST
CHESAPEAKE CITY MD
21915-1016
US

V. Phone/Fax

Practice location:
  • Phone: 410-392-2731
  • Fax:
Mailing address:
  • Phone: 410-392-2731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number10756
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: