Individual
KATRINA NICHELE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
6300 W 95TH ST, OAK LAWN, IL 60453-2256
(708) 599-8800
Mailing address
314 W 114TH ST, CHICAGO, IL 60628-4108
(773) 734-4863
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.008816
IL
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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