Individual
KIMBERLY ANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
975 N 5TH AVE, ST CHARLES, IL 60174-1299
(630) 443-8220
Mailing address
2520 LEHMAN DR, WEST CHICAGO, IL 60185-6171
(630) 440-9671
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.001884
IL
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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