NPI 1619526415
Timothy Smith
Practice location
- Address
- 6500 Maccorkle Ave, Saint Albans, WV 25177-2326
- Phone
- (304) 768-0002
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1619526415
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 Sep 2019
- Record last updated
- 5 Sep 2019
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.