Wendy Carter Smith, OTL

Individual provider Active NPI Occupational Therapist · Mims, FL

NPI 1962755181 · NPPES record last updated Oct 25, 2012

Key facts

NPI
1962755181
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT 4689 (FL)
Practice address
4988 Hamlin Cir
Mims, FL 32754-5776
Phone
(321) 264-9496
NPI assigned
Oct 25, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OT 4689FLMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT 4689 FL Yes

Addresses

Primary practice location

4988 Hamlin Cir
Mims, FL 32754-5776

Mailing address

4988 Hamlin Circle
Mims, FL 32754
Phone (321) 269-2200

Other providers in Mims, FL

All providers in Mims, FL · Occupational Therapist in Florida

Sources for this page

Verify at the official NPI Registry.