Individual
ALYSSA A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
200 WELLMORE DR, LEXINGTON, SC 29072-9172
(803) 520-1200
Mailing address
189 BERRY DR, WEST COLUMBIA, SC 29170-3093
(803) 917-4312
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5161
SC
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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