Whalio Doctors

NPI 1225212459

Taris Renee Smith, COTAL

Practitioner Occupational Therapy Assistant Clovis, NM

Practice location

Address
2016 Fairway Ter, Clovis, NM 88101-3130
Phone
(505) 763-0400

Registered specialties

Occupational Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 2381 (NM)

Registry record

NPI
1225212459
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 Dec 2007
Record last updated
24 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.