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NPI Code Detail

MEDICARE: WHITNEY A SMITH OT

MEDICARE: WHITNEY A SMITH OT
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
1225X00000XOccupational Therapist305382TX

General Provider Information

NPI Number : 1366915803
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY A SMITH OT
Provider Business Mailing Address
First Line : 3333 BAYSHORE BLVD STE 340
Second Line :
City : PASADENA
State : TX
Zip : 77504-1960
Country : US
Telephone Number : 713-910-5437
Fax Number :
Provider Business Practice Location Address
First Line : 3333 BAYSHORE BLVD STE 340
Second Line :
City : PASADENA
State : TX
Zip : 77504-1960
Country : US
Telephone Number : 713-910-5437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2019
Last Update Date : 01/08/2019

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Directions to “ WHITNEY A SMITH OT” Practice Location

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