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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DWAYNE PATRICK SMITH

Active Sole Proprietor

MR. DWAYNE PATRICK SMITH is a Occupational Therapist healthcare provider located in PARK HILLS, Missouri. NPI 1720292022 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · PARK HILLS, MO

Registration Details

NPI Number
1720292022
Provider Type
Individual
Gender
Male
NPI Issued
May 9, 2007 (19.083651026906 yrs)
Last Updated
Jul 8, 2007
License
116882 (MO)
Sole Proprietor
Yes

Practice Information

Address
1103 KOEN CREEK CT. APT. A
PARK HILLS, MO, 63601
Browse MO providers · Browse ZIP 63601
Phone
5737477059
Primary Specialty
Occupational Therapist
225200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.