Individual
DEBORAH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
601 E MAIN ST, PRETTY PRAIRIE, KS 67570-9202
(620) 459-6822
(620) 459-7277
Mailing address
1138 N SPRUCE ST, KINGMAN, KS 67068-1447
(785) 562-6717
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-000312
KS
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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