Individual
KATIE NICOLE SMOTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
11330 FARRAH LN, AUSTIN, TX 78748-1959
(512) 280-2030
Mailing address
1200 E PARMER LN APT 219, AUSTIN, TX 78753-3538
(713) 206-1551
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214159
TX
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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