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NPI Code Detail

MEDICARE: MISS EMILY BABETTE SMITH OTR

MEDICARE: MISS EMILY BABETTE SMITH OTR
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 Therapist1045935CO

General Provider Information

NPI Number : 1649458746
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS EMILY BABETTE SMITH OTR
Provider Business Mailing Address
First Line : 2205 W 29TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80211-3803
Country : US
Telephone Number : 303-458-1112
Fax Number : 720-855-3690
Provider Business Practice Location Address
First Line : 2205 W 29TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80211-3803
Country : US
Telephone Number : 303-458-1112
Fax Number : 720-855-3690
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2008
Last Update Date : 01/31/2008

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