Individual
CAITLYN JUSTINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
930 SHEPHARD BROTHERS BLVD, MOBERLY, MO 65270-3813
(660) 269-8598
Mailing address
1009 HALLECK ST, MOBERLY, MO 65270-2048
(660) 833-1799
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2025045023
MO
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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