Individual
MS. CAITLIN CLARE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
872 W DAYTON ST, GALESBURG, IL 61401-1503
(309) 344-3400
(309) 344-5040
Mailing address
872 W DAYTON ST, GALESBURG, IL 61401-1503
(309) 344-3400
(309) 344-5040
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.008139
IL
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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