Individual
STACEY C SMART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
1289 OLIVER ST, FAYETTEVILLE, NC 28304-4450
(910) 483-8331
(910) 483-8335
Mailing address
355 CARRIE ST, SAULT SAINTE MARIE, MI 49783-2152
(231) 690-3829
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12478
NC
Other
Enumeration date
03/17/2014
Last updated
04/22/2019
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