Individual
KENDRA SMART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
9701 MEDICAL CENTER DR, ROCKVILLE, MD 20850-3326
(301) 315-1947
Mailing address
400 BLUE SILK LN APT H, GAITHERSBURG, MD 20879-3612
(904) 888-6449
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A02664
MD
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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