Smith, Kristine Ann

Smith, Kristine Ann is an individual health care provider with primary practice located at 4902 S Val Vista Dr Suite B102, Gilbert AZ 85298-7325. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Smith, Kristine Ann can be contacted via phone (480) 855-8866.

Contact Information

Primary practice address
4902 S Val Vista Dr Suite B102 Gilbert AZ 85298-7325
Phone: (480) 855-8866
Fax: (480) 855-8867
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 0718 Arizona

Profile Details

NPI number 1053439745
LBN Legal business name Smith, Kristine Ann
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Aug 19th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053439745 NPPES
Arizona Other 0718 STATE LICENSE
Arizona MEDICAID 133851 STATE LICENSE

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