Individual
MRS. AMBER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
400 N EASTERN AVE, MOORE, OK 73160-5833
(405) 601-4303
(405) 703-9144
Mailing address
400 N EASTERN AVE, MOORE, OK 73160-5833
(405) 601-4303
(405) 703-9144
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
959
OK
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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