Individual
KYLIE MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
3160 N ARIZONA AVE STE 106, CHANDLER, AZ 85225-7122
(480) 699-4845
Mailing address
815 N 52ND ST APT 1173, PHOENIX, AZ 85008-6741
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008809
AZ
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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