Individual
KIERRA SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2684 SW IMMANUEL DR, PALM CITY, FL 34990-2738
(772) 291-2179
Mailing address
1967 SW CAPEADOR ST, PORT ST LUCIE, FL 34953-1747
(772) 579-9635
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT24667
FL
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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