Doctor Name: | AMY SMITH |
NPI Number: | 1396849816 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OT |
License Number: | OTR1554 |
Business Practice Address: | 205 Plaza Blvd Cabot, AR - 720233749 |
Business Phone Number: | 5016760063 |
Business Fax Number: | 5016280066 |
Mailing Address: | Po Box 980, LONOKE |
State: | AR |
Postal Code: | 720860980 |
Phone Number: | 5016762786 |
Fax Number: | 5016760697 |
NPI Enumeration Date: | 09/13/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | OTR1554 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |