Individual
ELIZABETH A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1515 LAKE HAVASU AVE N, LAKE HAVASU CITY, AZ 86404-1177
(928) 854-5439
(928) 854-5440
Mailing address
1515 LAKE HAVASU AVE N, LAKE HAVASU CITY, AZ 86404-1177
(928) 854-5439
(928) 854-5440
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
AZ
Other
Enumeration date
08/23/2017
Last updated
07/21/2022
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