Individual
MS. TANESHA JAVON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
11411 WEATHERING OAKS DR, HOUSTON, TX 77066-5137
(936) 275-6363
Mailing address
11411 WEATHERING OAKS DR, HOUSTON, TX 77066-5137
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214438
TX
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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