Taris Renee Smith COTA/L

NPI 1225212459 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1225212459
Gender Female
Enumeration Date 12/24/2007
Last Updated 12/24/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
2016 FAIRWAY TER
CLOVIS NM, 88101-3130, US
Phone (505) 763-0400
Fax
Business Location
2016 FAIRWAY TER
CLOVIS NM, 88101-3130, US
Phone (505) 763-0400
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State New Mexico
License Number 2381
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According to our database, Mrs. Taris Renee Smith COTA/L NPI is 1225212459, taxonomy code is 224Z00000X and license number is 2381, license state is located at New Mexico. Taris Renee Smith COTA/L physically located at 2016 Fairway Ter, Clovis NM, 88101-3130. NPI Number Taris Renee Smith COTA/L has the Individual type.

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1225212459 NPI number is provided on an as is basis without warranty of any kind. 1225212459 is maintained by the National Plan & Provider Enumeration System. The contents of Taris Renee Smith COTA/L are for informational purposes only.