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Individual

KELLY IRION SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3638 MOTOR AVE, LOS ANGELES, CA 90034-5702
(310) 204-8999
Mailing address
3638 MOTOR AVE, LOS ANGELES, CA 90034-5702
(310) 204-8999

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
17152
CA

Other

Enumeration date
02/24/2017
Last updated
02/24/2017
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