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NPI Code Detail

MEDICARE: JENNIFER D SMITH-REED X COTA

MEDICARE: JENNIFER D SMITH-REED X COTA
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
1224Z00000XOccupational Therapy Assistant208203TX

General Provider Information

NPI Number : 1124696034
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER D SMITH-REED X COTA
Provider Business Mailing Address
First Line : 209 RUGBY LN
Second Line :
City : MCKINNEY
State : TX
Zip : 75072-5982
Country : US
Telephone Number : 469-288-1808
Fax Number :
Provider Business Practice Location Address
First Line : 5521 VILLAGE CREEK DR
Second Line :
City : PLANO
State : TX
Zip : 75093-4829
Country : US
Telephone Number : 469-288-1808
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2021
Last Update Date : 06/16/2021

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