MEDICARE: TWILA N SMITH ,MSOTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	126431	TX
2	225X00000X	Occupational Therapist	28778	CA

General Provider Information

NPI Number	:	1427334754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TWILA N SMITH ,MSOTR/L

Provider Business Mailing Address
First Line	:	6622 SOMMERVILLE LN
Second Line	:
City	:	MANVEL
State	:	TX
Zip	:	77578-3988
Country	:	US
Telephone Number	:	310-877-9862
Fax Number	:

Provider Business Practice Location Address
First Line	:	6622 SOMMERVILLE LN
Second Line	:
City	:	MANVEL
State	:	TX
Zip	:	77578-3988
Country	:	US
Telephone Number	:	310-877-9862
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2011
Last Update Date	:	04/30/2026

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Directions to “ TWILA N SMITH ,MSOTR/L” Practice Location

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