Individual
MARK SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
4150 CLEMENT ST, BLDG 203, GA-32, SAN FRANCISCO, CA 94121-1545
(415) 221-4810
Mailing address
4150 CLEMENT ST, BLDG 203, GA-32, SAN FRANCISCO, CA 94121-1545
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
14417
CA
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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