| NPI | 1689863581 |
|---|---|
| Former Name | ELISHA J SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NM 2109) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OK 1002) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2024-01-18 |