Individual
ANGEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1835 W LA VETA AVE, ORANGE, CA 92868-4132
(714) 978-6800
(714) 978-9374
Mailing address
1835 W LA VETA AVE, ORANGE, CA 92868-4132
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2876
CA
Other
Enumeration date
01/19/2015
Last updated
01/19/2015
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