Individual
MS. HEATHER N SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2450 E 5TH ST, TYLER, TX 75701-3525
(903) 592-6745
(903) 592-1088
Mailing address
2450 E 5TH ST, TYLER, TX 75701-3525
(903) 532-6745
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210346
TX
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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