Individual
ANGELIQUE JA-NEAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1330 S BARRINGTON AVE, 15, LOS ANGELES, CA 90025-1660
(818) 679-8137
Mailing address
1330 S BARRINGTON AVE, 15, LOS ANGELES, CA 90025-1660
(818) 679-8137
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2639
CA
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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