Individual
TASHA LAFAY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
604 NW 3RD ST, HUBBARD, TX 76648
(970) 396-8708
Mailing address
604 NW 3RD ST, HUBBARD, TX 76648
(970) 396-8708
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214613
TX
Other
Enumeration date
09/01/2018
Last updated
09/01/2018
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