Individual
CARLY MAE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
630 STONEGLEN DR STE B, KELLER, TX 76248-3626
(817) 734-6515
Mailing address
630 STONEGLEN DR STE B, KELLER, TX 76248-3626
(817) 734-6515
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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