Individual
MS. LYNNE D. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2319 ELK VIEW RD, ELK CREEK, VA 24326-2387
(276) 744-7514
Mailing address
2319 ELK VIEW RD, ELK CREEK, VA 24326-2387
(276) 744-7514
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000900
VA
224Z00000X
Occupational Therapy Assistant
2074
TN
224Z00000X
Occupational Therapy Assistant
8268
NC
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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