Individual
MEGAN S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5417 ALTAMESA BLVD, FORT WORTH, TX 76123-2804
(817) 370-6222
Mailing address
5417 ALTAMESA BLVD, FORT WORTH, TX 76123-2804
(817) 370-6244
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213116
TX
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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