Individual
ALYSSA NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3901 S LAMAR BLVD STE 160, AUSTIN, TX 78704-7990
(512) 431-4721
Mailing address
2018 W RUNDBERG LN, AUSTIN, TX 78758-4878
(903) 922-7148
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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