Individual
MS. KEYNA NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
701 MONROE ST NW, RUSSELLVILLE, AL 35653-1358
(256) 332-4110
Mailing address
701 MONROE ST NW, RUSSELLVILLE, AL 35653-1358
(256) 332-4110
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1998
AL
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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