Individual
NICOLE PATTI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
12881 KNOTT ST, GARDEN GROVE, CA 92841-3925
(714) 892-6828
Mailing address
4000 PARK NEWPORT APT UNIT204, NEWPORT BEACH, CA 92660-6001
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA3655
CA
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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