Individual
MRS. KATHRYN SK SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2832 STONEHAVEN DR, FORT COLLINS, CO 80525-5683
(970) 488-0773
Mailing address
2832 STONEHAVEN DR, FORT COLLINS, CO 80525-5683
(970) 488-0773
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
OT.0001576
CO
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT.0001576
STATE OF COLORADO, DORA
CO
Enumeration date
06/04/2013
Last updated
02/18/2020
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