Individual
LATANYA RENEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
13008 GRAMERCY PL, GARDENA, CA 90249-1810
(310) 892-3908
(562) 423-8130
Mailing address
13008 GRAMERCY PL, GARDENA, CA 90249-1810
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA2226
CA
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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