Individual
AMY MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6700 E 45TH ST N, BEL AIRE, KS 67226-8817
(316) 744-4109
Mailing address
404 S MAPLE ST, SOUTH HUTCHINSON, KS 67505-1813
(620) 802-3471
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00841
KS
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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