NPI 1063192706

Katelyn Smith

Practitioner Developmental Therapist Syracuse, NY

Practice location

Address: 1045 James St, Syracuse, NY 13203-2730
Phone: (315) 425-1004

Registered specialties

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X Licence 62-P123083-01 (NY)

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Registry record

NPI: 1063192706
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jul 2023
Record last updated: 20 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.