Individual
MR. JEREMY TODD SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2817 ROCK MERRIT AVENUE, STOP A, FORT BRAGG, NC 28310-0001
(910) 907-6916
Mailing address
2817 ROCK MERRIT AVENUE, STOP A, FORT BRAGG, NC 28310-0001
(910) 907-6916
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
5348
NC
225XL0004X
Low Vision Occupational Therapist
5348
NC
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
5348
NC
225XR0403X
Driving and Community Mobility Occupational Therapist
5348
NC
Other
Enumeration date
09/20/2007
Last updated
04/02/2026
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