NPI 1407221070

Kellie Smith, COTA

Practitioner Occupational Therapy Assistant Waldorf, MD

Practice location

Address: 4140 Old Washington Rd, Waldorf, MD 20602-3221
Phone: (301) 645-2813

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence A02054 (MD)

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Registry record

NPI: 1407221070
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Dec 2015
Record last updated: 8 Dec 2015

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.