Individual
CECILIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1256 SWEET ROSIE LOOP NE, BROOKHAVEN, MS 39601-8136
(601) 320-1225
Mailing address
1256 SWEET ROSIE LOOP NE, BROOKHAVEN, MS 39601-8136
(601) 320-1225
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA1479
MS
Other
Enumeration date
10/10/2007
Last updated
10/10/2007
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