Individual
VICKIE LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
2400 W BROWN ST, SAN SABA, TX 76877-3863
(325) 455-3200
Mailing address
2400 W BROWN ST, SAN SABA, TX 76877-3863
(325) 455-3200
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
207564
TX
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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