Individual
JESSICA BAILEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4524 TALISMAN ST, TORRANCE, CA 90503-1460
(310) 753-4608
Mailing address
4524 TALISMAN ST, TORRANCE, CA 90503-1460
(310) 753-4608
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
13183
CA
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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