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Individual

MRS. CAROLYN ANN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
472 KAULANA ST, KAHULUI, HI 96732-2050
(808) 877-8740
(808) 871-7487
Mailing address
472 KAULANA ST, KAHULUI, HI 96732-2050
(808) 877-8740
(808) 871-7487

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202006665
MI

Other

Enumeration date
11/20/2012
Last updated
07/27/2015
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