Individual
KRISTIN JEAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L ATP
Contact information
Practice address
7 BRIXTON CT, ALGONQUIN, IL 60102-6277
(847) 271-7092
Mailing address
7 BRIXTON CT, ALGONQUIN, IL 60102-6277
(847) 271-7092
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.002935
IL
Other
Enumeration date
01/12/2019
Last updated
01/12/2019
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