Individual
SARA SMITH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2530 GREENHILL RD, MT PLEASANT, TX 75455-6744
(903) 572-0974
Mailing address
103 KIMBERLY LN, LONGVIEW, TX 75604-1314
(903) 578-0586
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214626
TX
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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