Individual
CHRISTIE M POLK SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCOTA
Contact information
Practice address
516 LECKIE RD, CALHOUN, LA 71225-9085
(318) 331-3862
Mailing address
PO BOX 309, CALHOUN, LA 71225-0309
(318) 331-3862
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.200421
LA
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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