Christie M Polk Smith, LCOTA
Individual provider Active NPI Occupational Therapy Assistant · Calhoun, LA
NPI 1275938458 · NPPES record last updated Oct 29, 2014
Key facts
- NPI
- 1275938458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OTA.200421 (LA)
- Practice address
- 516 Leckie Rd
Calhoun, LA 71225-9085 - Phone
- (318) 331-3862
- NPI assigned
- Oct 29, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA.200421 | LA | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA.200421 | LA | Yes |
Addresses
Primary practice location
516 Leckie Rd
Calhoun, LA 71225-9085
Mailing address
PO Box 309
Calhoun, LA 71225-0309
Phone (318) 331-3862
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All providers in Calhoun, LA · Occupational Therapy Assistant in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.