NPI 1104333723

Kensey Alene Smith, OTA

Practitioner Pediatric Occupational Therapist Villa Rica, GA

Practice location

Address: 113 Commons Way STE 402, Villa Rica, GA 30180-7040
Phone: (770) 459-6533
Fax: (770) 462-1260
Mailing address: 2001 Church Ln, Villa Rica, GA 30180-4720

Registered specialties

Pediatric Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225XP0200X Licence 315693 (GA)

Other Occupational Therapist providers in Georgia →

Registry record

NPI: 1104333723
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jan 2018
Record last updated: 4 Jan 2018

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.