Individual
KELSEY KRISTINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 MACOM DR STE 103, NAPERVILLE, IL 60564-9360
(630) 585-7337
Mailing address
881 HEATHERBROOK CT, WHEATON, IL 60189-7609
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.009623
IL
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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