Individual
ALYSSA ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
731 N KLEIN CIR, DERBY, KS 67037-7011
(316) 719-2400
Mailing address
731 N KLEIN CIR, DERBY, KS 67037-7011
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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