| NPI | 1669435061 |
|---|---|
| Former Name | DEANDREA VONTRESE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT9334) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT004295) |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2014-01-15 |