Individual
MRS. TAMMY LEE KLEINSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA /L
Contact information
Practice address
221 11TH AVE, MOLINE, IL 61265-1498
(309) 797-7199
(919) 424-4310
Mailing address
3001 SPRING FOREST RD, RALEIGH, NC 27616-2815
(919) 424-5086
(919) 424-4310
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.004095
IL
Other
Enumeration date
09/07/2014
Last updated
09/07/2014
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