Individual
MRS. LYNDSEY RENEA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCOTA
Contact information
Practice address
1700 E E WALLACE BLVD, FERRIDAY, LA 71334
(318) 757-6551
(318) 757-2310
Mailing address
PO BOX 111, FERRIDAY, LA 71334
(318) 757-6551
(318) 757-2310
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA200236
LA
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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