Provider Demographics
NPI:1740389204
Name:SMITH, SARAH VIRGINIA (MPH, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:VIRGINIA
Last Name:SMITH
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Gender:F
Credentials:MPH, OTR/L
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Mailing Address - Street 1:1504 S SPRING ST
Mailing Address - Street 2:STRASSER COTTAGE
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72202-4858
Mailing Address - Country:US
Mailing Address - Phone:501-257-3016
Mailing Address - Fax:501-257-2993
Practice Address - Street 1:2200 FORT ROOTS DR
Practice Address - Street 2:CENTRAL ARKANSAS VETERANS HEALTHCARE SYSTEM
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72114
Practice Address - Country:US
Practice Address - Phone:501-257-3016
Practice Address - Fax:501-257-2993
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AROTR989225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist