Provider Demographics
NPI:1255504734
Name:PABON SMITH, KAMIR (OTR/L, CHT)
Entity Type:Individual
Prefix:
First Name:KAMIR
Middle Name:
Last Name:PABON SMITH
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 FRANCIS ST FL 1
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-6134
Mailing Address - Country:US
Mailing Address - Phone:617-732-5304
Mailing Address - Fax:617-730-2884
Practice Address - Street 1:70 FRANCIS ST FL 1
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-732-5304
Practice Address - Fax:617-730-2884
Is Sole Proprietor?:No
Enumeration Date:2008-04-07
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIOT00751225XH1200X
MA7672225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand