Individual
TIFFANY S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
84 JOHNSON ESTATE RD, CLAYTON, NC 27520-9289
(919) 359-9073
Mailing address
1090 COLE LN, SCOTTSBURG, VA 24589-2654
(434) 265-4035
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000968
VA
Other
Enumeration date
05/29/2017
Last updated
01/07/2021
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