Individual
KRISTINA LENORE CONLEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/R
Contact information
Practice address
1719 WILSON ST, MUNSTER, IN 46321-2741
(219) 512-3798
(219) 838-5058
Mailing address
1719 WILSON ST, MUNSTER, IN 46321-2741
(219) 512-3798
(219) 838-5058
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003792A
IN
Other
Enumeration date
10/23/2010
Last updated
10/23/2010
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