Individual
ALEXIS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3853 ROSCOMMON WAY, CLARKSVILLE, TN 37040-5682
(931) 624-8404
Mailing address
3853 ROSCOMMON WAY, CLARKSVILLE, TN 37040-5682
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3266
TN
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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