Individual
KIMBERLY LINETTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
800 W RANDOL MILL RD FL 6, ARLINGTON, TX 76012-2504
(682) 276-8700
Mailing address
800 W RANDOL MILL RD FL 6, ARLINGTON, TX 76012-2504
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215012
TX
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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