ETHAN SMITH

GILBERT, AZ
NPI1942061528
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
Enumeration Date2024-01-19
Last Update Date2024-01-19
Business Address
ETHAN SMITH OTR
2350 S WADE DR UNIT 2090
GILBERT, AZ 85295-0453
Phone number: 801-372-7114
Mailing Address
ETHAN SMITH OTR
2350 S WADE DR UNIT 2090
GILBERT, AZ 85295-0453
Phone number: 801-372-7114