Individual
EMILY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1417
(864) 512-3719
Mailing address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1198
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4047
SC
Other
Enumeration date
02/09/2007
Last updated
01/21/2013
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