Individual
KATHLEEN MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3294 SANTA FE AVE, LONG BEACH, CA 90810-2408
(562) 424-0757
Mailing address
215 11TH ST # 2, SEAL BEACH, CA 90740-6426
(562) 999-6830
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2212
CA
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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