NPI 1013176742

Mary Josephine Smith, COTA

Practitioner Occupational Therapy Assistant Goshen, IN

Practice location

Address: 2400 College Ave, Goshen, IN 46528-5010
Phone: (574) 533-0351
Mailing address: 1711 Stevens Ave, Elkhart, IN 46516-4002

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 32001082A (IN)

Other Occupational Therapy Assistant providers in Indiana →

Registry record

NPI: 1013176742
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jun 2008
Record last updated: 6 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.