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Individual

MR. RICHARD K. SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CTRS,WOSH

Contact information

Practice address
1139 HUNTINGTON DR, SOUTH PASADENA, CA 91030-4516
(310) 478-3711
(310) 268-3279
Mailing address
1139 HUNTINGTON DR, SOUTH PASADENA, CA 91030-4516
(310) 478-3711
(310) 268-3279

Taxonomy

Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
32086
NY

Other

Enumeration date
10/25/2006
Last updated
07/08/2007
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