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

RAISSA J SMITH, OTR/L

Active Sole Proprietor

RAISSA J SMITH, OTR/L is a Multi-Specialty Clinic healthcare provider located in LOUISVILLE, Kentucky. NPI 1881006419 is currently active in the NPPES registry. Verify at CMS.

Multi-Specialty Clinic · LOUISVILLE, KY

Registration Details

NPI Number
1881006419
Provider Type
Individual
Gender
Female
NPI Issued
Jun 2, 2014 (12.206412665407 yrs)
Last Updated
Sep 14, 2020
License
134651 (KY)
Sole Proprietor
Yes

Practice Information

Address
3501 FENWICK PARK PL
APT F
LOUISVILLE, KY, 402205844
Browse KY providers · Browse ZIP 40220
Phone
6065849999
Primary Specialty
Multi-Specialty Clinic
261QM1300X
Additional Specialty
Occupational Therapist
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.