Individual
KIMBERLY PAIGE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
501 BURNS AVE, LAKE WALES, FL 33853-3335
(863) 679-3338
Mailing address
8390 CHAMPIONS GATE BLVD STE 205, CHAMPIONS GATE, FL 33896-8415
(850) 508-6819
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA18802
FL
Other
Enumeration date
02/22/2022
Last updated
08/02/2026
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