Individual
BRYANNA MONTANA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
309 SW 59TH ST STE 305, OKLAHOMA CITY, OK 73109-8324
(405) 355-3239
Mailing address
10421 CATON PL, MIDWEST CITY, OK 73130-1634
(580) 521-1423
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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