Individual
EMILY MICHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2333 MANOR DR, BRYAN, TX 77802-1907
(409) 383-3102
Mailing address
450 FM 3414, JASPER, TX 75951-7863
(409) 383-3102
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215747
TX
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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