Individual
SHELBY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8119 PINE LAKE RD, DENVER, NC 28037-8811
(704) 507-4889
Mailing address
8119 PINE LAKE RD, DENVER, NC 28037-8811
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
17795
NC
Other
Enumeration date
07/24/2026
Last updated
07/24/2026
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