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1760928972
KELLY SMITH
HUMBLE, TX
NPI
1760928972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 213713)
Enumeration Date
2017-01-11
Last Update Date
2017-01-11
Business Address
-- KELLY SMITH LOTA
1000 1ST ST E
HUMBLE, TX 77338-4924
Phone number: 281-540-2001
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Mailing Address
-- KELLY SMITH LOTA
4615 RIVERSIDE OAKS DR
KINGWOOD, TX 77345-1296
Phone number: 713-855-0301
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