NPI | 1073827812 |
---|---|
Other Name | TRENT SMITH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: OR 1063683) |
Additional Taxonomies | 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: CA 5665) |
Enumeration Date | 2010-08-04 |
Last Update Date | 2011-04-28 |