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Individual

CAROL SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
4700 PHINNEY AVE N, SEATTLE, WA 98103-6399
(206) 632-7400
Mailing address
5635 KIRKWOOD PL N, SEATTLE, WA 98103-5929
(425) 301-9264

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00001514
WA

Other

Enumeration date
08/12/2019
Last updated
08/12/2019
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