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1922725159
SAMUEL SMITH
ROOSEVELT, UT
NPI
1922725159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: UT 10685382-4201)
Enumeration Date
2022-10-27
Last Update Date
2022-10-27
Business Address
MR. SAMUEL SMITH OTR/L
1010 E 200 N
ROOSEVELT, UT 84066-2585
Phone number: 435-823-1769
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Mailing Address
MR. SAMUEL SMITH OTR/L
261 E 1080 S
ROOSEVELT, UT 84066-3809
Phone number: 801-636-7891
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