Individual provider · Type 1 NPI

Raissa J. Smith, OTR/L

Multi-Specialty Clinic/Center · Louisville, KY

NPI number 1881006419 Active

Practice location

3501 Fenwick Park Pl, Apt F
Louisville, KY 40220-5844

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300X134651 (KY)
Occupational Therapist 225X00000XNone listed

Multi-Specialty Clinic/Center: Definition to come...

About NPI 1881006419

Raissa J. Smith, OTR/L's National Provider Identifier is 1881006419, issued on Jun 2, 2014. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Louisville, KY. The record was last updated on Sep 14, 2020.