Individual
HOLLY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S., COTA
Contact information
Practice address
1120 MEADOWVALE DR, BEAUMONT, TX 77706-3881
(318) 664-4788
Mailing address
1120 MEADOWVALE DR, BEAUMONT, TX 77706-3881
(318) 664-4788
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212216
TX
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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