Individual
KAITLYN MARIE SMALLACOMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1671 PALMETTO LN, PEMBROKE PINES, FL 33026-3233
(954) 205-1465
Mailing address
1671 PALMETTO LN, PEMBROKE PINES, FL 33026-3233
(954) 205-1465
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
15127
FL
225X00000X
Occupational Therapist
Primary
OT26830
FL
Other
Enumeration date
07/07/2016
Last updated
01/28/2026
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