Individual
KATHLEEN MICHELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
13130 BURBANK BLVD, SHERMAN OAKS, CA 91401-6037
(818) 947-5564
Mailing address
2204 HIGHLAND AVE, #B, MANHATTAN BEACH, CA 90266-4423
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8930
CA
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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