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NPI Code Detail

MEDICARE: LAURA SMITH

MEDICARE: LAURA 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 : 1528469038
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA SMITH
Provider Business Mailing Address
First Line : 2204 ASPEN TER
Second Line :
City : GREENWOOD
State : AR
Zip : 72936-6401
Country : US
Telephone Number : 501-317-0579
Fax Number :
Provider Business Practice Location Address
First Line : 5400 EUPER LN
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-3232
Country : US
Telephone Number : 479-755-6601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2014
Last Update Date : 08/07/2020

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Directions to “ LAURA SMITH ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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