IndividualActive
Alexander Smith, OTA
NPI 1063179307 · Occupational Therapy Assistant · Phoenix, MD
Provider details
- NPI number
- 1063179307
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
14101 Robcaste Rd
Phoenix, MD 21131-1471
Phone: (443) 986-7534
Approximate (ZIP-level) locationGet directions
Mailing address
14101 Robcaste Rd
Phoenix, MD 21131-1471
Registry dates
- Enumerated
- 2021-11-22
- Last updated
- 2021-11-22
- Certified
- 2021-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.