Individual
MRS. MARTI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
10904 ENCHANTED ROCK CV, AUSTIN, TX 78726-1336
(512) 249-9809
Mailing address
10904 ENCHANTED ROCK CV, AUSTIN, TX 78726-1336
(512) 249-9809
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
111210
TX
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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