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1962422915
JEFFREY THOMAS SMITH
GREEN BAY, WI
NPI
1962422915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IN 31001371A)
Enumeration Date
2006-07-20
Last Update Date
2021-04-05
Business Address
Mr. JEFFREY THOMAS SMITH OTR/L, CHT
1715 DOUSMAN ST
GREEN BAY, WI 54303-3211
Phone number: 920-496-4700
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Mailing Address
Mr. JEFFREY THOMAS SMITH OTR/L, CHT
PO BOX 19070
GREEN BAY, WI 54307-9070
Phone number: 920-496-4700
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