STEPHEN GERARD SMITH

FORT WAYNE, IN
NPI1659535755
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32001573A)
Enumeration Date2008-07-17
Last Update Date2008-07-17
Business Address
Mr. STEPHEN GERARD SMITH Cota
7555 DECATUR RD LOT 128
FORT WAYNE, IN 46816-3349
Phone number: 260-348-4418
Mailing Address
Mr. STEPHEN GERARD SMITH Cota
7555 DECATUR RD LOT 128
FORT WAYNE, IN 46816-3349
Phone number: 260-348-4418
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