Individual
HEATHER RENEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
922 E EMMA AVE, SPRINGDALE, AR 72764-4503
(479) 770-0788
Mailing address
15028 PARK RIDGE DR, LOWELL, AR 72745-8990
(913) 749-2754
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1731
AR
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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