Most Relevant Information
Provider Data
| NPI Number: | 1003350885 |
| Provider Name: | HOLLY SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | OT2016-045 |
Most Important Dates
| Enumeration Date: | 12/13/2016 |
| Last Updated: | 12/13/2016 |
Provider Practice Location
581 CR 115
HICKORY RIDGE
AR
723479203
Practice Location Phone/Fax
| Phone: | 8702085856 |
| Fax: |
Provider Mailing Location
581 CR 115
HICKORY RIDGE
AR
723479203
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |