Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 7672 | MA |
N | 225XH1200X | Occupational Therapist - Hand | OT00751 | RI |
NPI | 1255504734 |
---|---|
Provider Name | Kamir Pabon Smith |
First Address | Boston, MA 02115-6134 |
Second Address | Boston, MA 02115 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2008 |
Last Update Date | 30/08/2021 |