Individual
KIMBERLY ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
83 PLEASANT DRIVE, HASTINGS, MN 55033
(651) 404-1002
Mailing address
1046 DWANE ST, SOUTH SAINT PAUL, MN 55075-1644
(651) 304-7008
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105853
MN
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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