Individual
FELISHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2300 POOL RD, GRAPEVINE, TX 76051-4254
(817) 410-3757
Mailing address
2300 POOL RD, GRAPEVINE, TX 76051-4254
(817) 410-3757
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
114078
TX
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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