Individual
KELSEY MORGAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M OTR/L
Contact information
Practice address
1059 W LAGUNA AZUL AVE, MESA, AZ 85210-7125
(425) 749-1207
Mailing address
1059 W LAGUNA AZUL AVE, MESA, AZ 85210-7125
(425) 749-1207
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-007777
AZ
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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