| NPI | 1659314029 |
|---|---|
| Former Name | LAURA ANN SMID |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056007456) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 056007456) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2008-05-27 |