Provider Demographics
NPI:1609101872
Name:SMITH, JOY LIU (OT)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:LIU
Last Name:SMITH
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:
Other - Last Name:LIU ALCARAZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:501 S AUSTIN AVE UNIT 1310
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-5639
Mailing Address - Country:US
Mailing Address - Phone:512-864-6050
Mailing Address - Fax:512-869-8157
Practice Address - Street 1:501 S AUSTIN AVE UNIT 1310
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-5639
Practice Address - Country:US
Practice Address - Phone:512-864-6050
Practice Address - Fax:512-869-8157
Is Sole Proprietor?:No
Enumeration Date:2009-10-06
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109790174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX109790OtherSTATE OT LICENSE