Tasha Kenae Smith OTR/L

NPI 1083861256 - Occupational Therapist - 225X00000X

NPI Details
NPI 1083861256
Gender Female
Enumeration Date 08/19/2008
Last Updated 08/19/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
201 S 10TH ST
MASCOUTAH IL, 62258-1736, US
Phone (618) 566-8000
Fax (618) 566-7408
Business Location
201 S 10TH ST
MASCOUTAH IL, 62258-1736, US
Phone (618) 566-8000
Fax (618) 566-7408
Toxanomy
Taxonomy Code 225X00000X
License State Illinois
License Number 056.006822
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According to our database, Miss Tasha Kenae Smith OTR/L NPI is 1083861256, taxonomy code is 225X00000X and license number is 056.006822, license state is located at Illinois. Tasha Kenae Smith OTR/L physically located at 201 S 10th St, Mascoutah IL, 62258-1736. NPI Number Tasha Kenae Smith OTR/L has the Individual type.

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1083861256 NPI number is provided on an as is basis without warranty of any kind. 1083861256 is maintained by the National Plan & Provider Enumeration System. The contents of Tasha Kenae Smith OTR/L are for informational purposes only.