Individual
CHRISTOPHER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1714 FM 2496 W, MT ENTERPRISE, TX 75681-5035
(903) 806-8680
Mailing address
1714 FM 2496 W, MT ENTERPRISE, TX 75681-5035
(903) 806-8680
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215560
TX
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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