| NPI | 1255763355 |
|---|---|
| Former Name | CARLY SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT21375) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC012587) |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2020-11-30 |