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1922398650
PHILLIP MATTHEW SMITH
BOSSIER CITY, LA
NPI
1922398650
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: LA OTA.Z.20243)
Enumeration Date
2011-04-14
Last Update Date
2011-04-14
Business Address
Mr. PHILLIP MATTHEW SMITH Occupational Therapy
3808 KILPATRICK DR NORTHWEST RECOURCE CENTER
BOSSIER CITY, LA 71111
Phone number: 318-741-2802
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Mailing Address
Mr. PHILLIP MATTHEW SMITH Occupational Therapy
5401 SHED ROAD
BOSSIER CITY, LA 71111
Phone number:
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