Individual
CHRISTINA LOUISE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
312 WILLIAM CLARK DR, DARDENNE PRAIRIE, MO 63368-8394
(312) 307-6345
Mailing address
312 WILLIAM CLARK DR, DARDENNE PRAIRIE, MO 63368-8394
(312) 307-6345
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2016004025
MO
224Z00000X
Occupational Therapy Assistant
213908
TX
224Z00000X
Occupational Therapy Assistant
COTA3591
CA
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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