Individual
CAITLIN A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
9120 W LOOMIS RD STE 100, FRANKLIN, WI 53132-9083
(414) 858-1740
(414) 858-1741
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 858-1740
(414) 858-1741
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6179-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100077222
—
WI
Enumeration date
02/22/2018
Last updated
09/06/2022
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