Individual
MRS. KATHERINE S SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
11838 BERNARDO PLAZA CT, SUITE 110, SAN DIEGO, CA 92128-2413
(858) 673-5437
Mailing address
11838 BERNARDO PLAZA CT, SUITE 110, SAN DIEGO, CA 92128-2413
(858) 673-5437
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
12239
CA
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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