Individual
AUDREY LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6021 W CHEYENNE AVE, LAS VEGAS, NV 89108-4205
(702) 658-9494
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3483
NV
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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