Individual
HALLIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-3914
Mailing address
925 CLEVELAND ST UNIT 247, GREENVILLE, SC 29601-4561
(423) 276-7282
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
67889
SC
Other
Enumeration date
09/05/2020
Last updated
09/05/2020
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