Smith, Elizabeth

Smith, Elizabeth is an individual health care provider with primary practice located at 1115 W Chestnut St , Brockton MA 02301-7501. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Exercise & Sports, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Exercise & Sports is her primary health care specialty. Smith, Elizabeth can be contacted via phone (508) 580-4691.

Contact Information

Primary practice address
1115 W Chestnut St Brockton MA 02301-7501
Phone: (508) 580-4691
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Exercise & Sports 103TE1100X 10902 Massachusetts
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 10902 Massachusetts

Profile Details

NPI number 1174963003
LBN Legal business name Smith, Elizabeth
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2013
Last updated Jun 25th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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