Individual
MARISSA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 WESTBROOK AVE, RICHMOND, VA 23227-3337
(804) 264-6000
Mailing address
320 NORTH MAIN STREET, RICH SQUARE, NC 27869
(252) 539-2170
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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