Individual
SUZANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
8848 RED OAK BLVD, CHARLOTTE, NC 28217-4053
(980) 422-5887
Mailing address
8848 RED OAK BLVD, CHARLOTTE, NC 28217-4053
(980) 422-5887
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
13885
NC
Other
Enumeration date
06/26/2021
Last updated
06/26/2021
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