Individual
JOY LIU SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
501 S AUSTIN AVE UNIT 1310, GEORGETOWN, TX 78626-5639
(512) 864-6050
(512) 869-8157
Mailing address
501 S AUSTIN AVE UNIT 1310, GEORGETOWN, TX 78626-5639
(512) 864-6050
(512) 869-8157
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
109790
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109790
STATE OT LICENSE
TX
Enumeration date
10/06/2009
Last updated
08/19/2022
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