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NPI Code Detail

MEDICARE: ANNA SMITH

MEDICARE: ANNA SMITH
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
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1316643406
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA SMITH
Provider Business Mailing Address
First Line : 1180 SPRING ASH DR
Second Line :
City : DAYTON
State : OH
Zip : 45458-4754
Country : US
Telephone Number : 937-272-9552
Fax Number :
Provider Business Practice Location Address
First Line : 400 LIBERTY WAY
Second Line :
City : GAHANNA
State : OH
Zip : 43230-3502
Country : US
Telephone Number : 614-503-4775
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2023
Last Update Date : 02/01/2023

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Directions to “ ANNA SMITH ” Practice Location

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