Whalio Doctors

NPI 1013353432

Jacqueline Marie Smith, CTRS

Practitioner Recreation Therapist Dupont, WA

Practice location

Address
2616 Erwin Ave, Dupont, WA 98327-8758
Phone
(951) 966-9949
Mailing address
2616 Erwin Ave, Dupont, WA 98327

Registered specialties

Recreation Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X

Registry record

NPI
1013353432
Entity type
Individual
Sex (as registered)
Female
NPI issued
13 May 2013
Record last updated
13 May 2013

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.