Provider Demographics
NPI:1467654459
Name:SMITH, SARIA RESHAWN (OTRL,MS)
Entity type:Individual
Prefix:MISS
First Name:SARIA
Middle Name:RESHAWN
Last Name:SMITH
Suffix:
Gender:F
Credentials:OTRL,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 DISCOVERY DR
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-4708
Mailing Address - Country:US
Mailing Address - Phone:614-436-5612
Mailing Address - Fax:
Practice Address - Street 1:920 THURBER DR W
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-1247
Practice Address - Country:US
Practice Address - Phone:614-464-2273
Practice Address - Fax:614-464-3037
Is Sole Proprietor?:No
Enumeration Date:2007-06-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH003372225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist