Individual
EFFIE MAY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/
Contact information
Practice address
1114 W. LLTH ST, LARNED, KS 67550-1939
(620) 285-6914
(620) 285-6173
Mailing address
529 W 8TH ST, LARNED, KS 67550-2407
(620) 285-3874
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00313
KS
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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