Individual
CHRISTINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
20420 68TH AVE W, LYNNWOOD, WA 98036-7400
(206) 919-0780
Mailing address
6515 CENTRAL AVE, EDMONDS, WA 98026-3109
(206) 919-0780
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT61134742
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT61134742
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
01/18/2023
Last updated
02/15/2023
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