Individual
CAITLIN KENNEDY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
47W635 BEITH RD, MAPLE PARK, IL 60151-8802
(815) 988-2611
Mailing address
2869 N LINCOLN AVE # 2, CHICAGO, IL 60657-4201
(773) 665-9950
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056008899
IL
Other
Enumeration date
04/06/2010
Last updated
09/12/2019
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