Individual
KAILI REANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
1585 N 113TH AVE STE 102, AVONDALE, AZ 85392-3938
(623) 259-9819
Mailing address
15116 N COTTON LN, SURPRISE, AZ 85388-9618
(623) 259-9819
Taxonomy
Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
OTH-009567
AZ
Other
Enumeration date
03/18/2024
Last updated
01/31/2025
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