Individual
MS. KATHLYN GLENN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1430 LAKEVIEW DR, TARPON SPRINGS, FL 34689-5625
(407) 304-7701
Mailing address
1430 LAKEVIEW DR, TARPON SPRINGS, FL 34689-5625
(407) 304-7701
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13393
FL
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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