Individual
KAREN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46 TRINITY DR, NOVATO, CA 94947-5245
(415) 847-2098
(415) 893-9931
Mailing address
46 TRINITY DR, NOVATO, CA 94947-5245
(415) 847-2098
(415) 893-9931
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
983124
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ23106Z
MEDICARE PIN NUMBER
CA
Enumeration date
10/25/2006
Last updated
01/04/2008
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