Individual
SHONDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1250 WALLACE BLVD, AMARILLO, TX 79106-1741
(806) 353-3596
(806) 353-4927
Mailing address
1250 WALLACE BLVD, AMARILLO, TX 79106-1741
(806) 353-3596
(806) 353-4927
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211217
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211217
STATE BOARD OF OCCUPATIONAL THERAPY EXAMINERS
TX
Enumeration date
09/08/2015
Last updated
09/08/2015
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