Individual
KRISTIN C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5445 AVENUE O, FORT MADISON, IA 52627-9611
(319) 376-2180
(319) 376-2180
Mailing address
5445 AVENUE O, FORT MADISON, IA 52627-9611
(319) 376-2180
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00603
IA
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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