Individual
ALEXANDRA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5321 BEVERLY PARK CIR, KNOXVILLE, TN 37918-9253
(304) 782-3000
Mailing address
5321 BEVERLY PARK CIR, KNOXVILLE, TN 37918-9253
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3066
TN
224Z00000X
Occupational Therapy Assistant
C2181
WV
Other
Enumeration date
12/15/2017
Last updated
02/18/2019
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