Zack Wesley Smith OTA

NPI 1548595473 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1548595473
Gender Male
Enumeration Date 10/09/2009
Last Updated 10/09/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1005 MIDWESTERN PKWY
WICHITA FALLS TX, 76302-2211, US
Phone (940) 322-0771
Fax (940) 766-4943
Business Location
12066 NE KEENEY RD
ELGIN OK, 73538-3761, US
Phone (940) 322-0771
Fax (940) 766-4943
Toxanomy
Taxonomy Code 224Z00000X
License State Texas
License Number 403749
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According to our database, Mr. Zack Wesley Smith OTA NPI is 1548595473, taxonomy code is 224Z00000X and license number is 403749, license state is located at Texas. Zack Wesley Smith OTA physically located at 1005 Midwestern Pkwy, Wichita Falls TX, 76302-2211. NPI Number Zack Wesley Smith OTA has the Individual type.

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1548595473 NPI number is provided on an as is basis without warranty of any kind. 1548595473 is maintained by the National Plan & Provider Enumeration System. The contents of Zack Wesley Smith OTA are for informational purposes only.