Smith, Isabella Ruby

Smith, Isabella Ruby is an sole proprietor health care provider with primary practice located at 4112 Fieldstone Rd Suite B, Champaign IL 61822. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Smith, Isabella Ruby can be contacted via phone (888) 308-3728.

Contact Information

Primary practice address
4112 Fieldstone Rd Suite B Champaign IL 61822
Phone: (888) 308-3728
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 057004851 Illinois

Profile Details

NPI number 1447803507
LBN Legal business name Smith, Isabella Ruby
Credentials COTA/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2019
Last updated Jul 18th, 2019 - about 6 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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