Individual
DEIDRA NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
87 IH 10 N STE 225, BEAUMONT, TX 77707-2549
(409) 835-0228
Mailing address
5350 OLD DOWLEN RD APT 525, BEAUMONT, TX 77706-6632
(325) 267-1463
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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