Individual
REBECCA JACKLYN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
231 TREETOP DR # 301, FAYETTEVILLE, NC 28311-0606
(910) 491-8217
Mailing address
503 S COALPORT DR, APEX, NC 27502-4110
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
14989
NC
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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