Ms. Dominique Deniece Smith
Occupational Therapy Assistant
506 Van Ness St
Winters
, Texas 79567-4724
Ms. Dominique Deniece Smith
Occupational Therapy Assistant
506 Van Ness St
Winters
, Texas 79567-4724
(954) 513-7130
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Ms. Dominique Deniece Smith
- 610 E Avenue D
- San Angelo, TX
- Zip : 76903-7143
- Phone : (954) 513-7130
Second Address
- Ms. Dominique Deniece Smith
- 506 Van Ness St
- Winters, TX
- Zip : 79567-4724
- Phone : (325) 754-4566
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 211177 | TX |
National Provider Identifier
| NPI | 1013498831 |
|---|---|
| Provider Name | Ms. Dominique Deniece Smith |
| First Address | San Angelo, TX 76903-7143 |
| Second Address | Winters, TX 79567-4724 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/08/2018 |
| Last Update Date | 29/08/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.