Individual
KAREN ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
67425 OVANTE RD, CATHEDRAL CITY, CA 92234-3459
(760) 409-2261
Mailing address
67425 OVANTE RD, CATHEDRAL CITY, CA 92234-3459
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT5113
CA
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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