Mattie Smith

NPI #1972172203 in Sylmar, California

Provider Information

NPI Number: 1972172203
Entity Type: Individual
Name: Mattie Smith
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Jun 21, 2021
Last Updated: Feb 14, 2022

Practice Location

Address: 13901 OLIVE VIEW LN UNIT 6
City: Sylmar
State: California
ZIP Code: 91342-7504
Phone: (262) 751-6543

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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