Individual
AZALEA REBECCA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5133 S FM 549, ROCKWALL, TX 75032-9178
(469) 458-9021
Mailing address
1112 SANDGATE DR, FORNEY, TX 75126-4811
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
124491
TX
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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