Individual
DEBRA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 COLONIAL LAKE DR APT 923, MADISON, AL 35758-2283
(256) 366-9780
Mailing address
900 COLONIAL LAKE DR APT 923, MADISON, AL 35758-2283
(256) 366-9780
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213031
TX
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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