Individual
KRISTINA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
319 S CEDAR ST, SPOKANE, WA 99201-7029
(509) 209-7429
(509) 340-9942
Mailing address
319 S CEDAR ST, SPOKANE, WA 99201-7029
(509) 209-7429
(509) 340-9942
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT61129398
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2178382
—
WA
01
—
OT61129398
DEPARTMENT OF HEALTH LICENSE
WA
Enumeration date
04/09/2021
Last updated
01/16/2023
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