Individual
AVERY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2465 GILLESPIE ST, FAYETTEVILLE, NC 28306-3053
(910) 678-2300
Mailing address
129 GARNER RD APT 3A, SPARTANBURG, SC 29303-3290
(866) 871-8519
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
17754
NC
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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