Individual
MELISSA LYNNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
15817 INDIAN CREEK PKWY, OLATHE, KS 66062-4213
(913) 314-4873
Mailing address
15817 INDIAN CREEK PKWY, OLATHE, KS 66062-4213
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-01203
KS
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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