Individual
MS. SHAYA LATRICE JEAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5517 MEXICO AVE, BIRMINGHAM, AL 35224-2433
(205) 834-7899
Mailing address
5517 MEXICO AVE, BIRMINGHAM, AL 35224-2433
(205) 834-7899
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6316
AL
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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