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NPI Code Detail

MEDICARE: MRS. APRIL BROOKE JOHNSON SMITH OTR/L

MEDICARE: MRS. APRIL BROOKE JOHNSON SMITH OTR/L
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 Therapist3332SC

General Provider Information

NPI Number : 1376727529
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. APRIL BROOKE JOHNSON SMITH OTR/L
Provider Business Mailing Address
First Line : 3617 PURPLE MARTIN CT
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29466-9375
Country : US
Telephone Number : 803-315-2475
Fax Number :
Provider Business Practice Location Address
First Line : 9405 HIGHWAY 17 BYP
Second Line :
City : MURRELLS INLET
State : SC
Zip : 29576-9301
Country : US
Telephone Number : 843-650-2213
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/24/2007
Last Update Date : 08/11/2015

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