Individual
MS. LISA SUMMERS SMOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
05142
MD
225X00000X
Occupational Therapist
111259
TX
225X00000X
Occupational Therapist
3686
AZ
225X00000X
Occupational Therapist
8856
CA
225X00000X
Occupational Therapist
OC009927
PA
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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