NPI 1306167226

Tamika Shayvonne Smith, MS

Practitioner Developmental Therapist Sunrise, FL

Practice location

Address: 1600 NW 128th Dr APT. 208, Sunrise, FL 33323-5216
Phone: (954) 636-8801
Mailing address: 1600 NW 128th Dr APT. 208, Sunrise, FL 33323-5202

Registered specialties

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X Licence SA 10980 (FL)

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Registry record

NPI: 1306167226
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jun 2010
Record last updated: 1 Apr 2015

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.