Individual
KAREN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1217 WABASH AVE, MATTOON, IL 61938-4141
(208) 697-6565
Mailing address
1217 WABASH AVE, MATTOON, IL 61938-4141
(208) 697-6565
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
24024
CA
225XP0200X
Pediatric Occupational Therapist
Primary
—
IL
Other
Enumeration date
11/05/2013
Last updated
09/24/2025
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