Individual
SHANA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5870 EL CAMINO REAL, CARLSBAD, CA 92008
(760) 576-9927
Mailing address
5870 EL CAMINO REAL, CARLSBAD, CA 92008-8816
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2735
CA
Other
Enumeration date
06/05/2017
Last updated
08/09/2019
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