| Doctor Name: | MR. DOUGLAS OLIVER SMITH |
| NPI Number: | 1275680324 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MOT, OTRL, ABDA |
| License Number: | |
| Business Practice Address: | 1330 Highway 17 South Wauchula, FL - 33873 |
| Business Phone Number: | 8637670111 |
| Business Fax Number: | |
| Mailing Address: | 4032 Santa Barbara Dr, SEBRING |
| State: | FL |
| Postal Code: | 338751360 |
| Phone Number: | 8633854380 |
| Fax Number: | 8633854529 |
| NPI Enumeration Date: | 01/04/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XE1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Ergonomics |
| Taxonomy Definition: | |