Individual
MRS. AMANDA HOLMAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
312 RELAX ST, WATERLOO, SC 29384-3503
(864) 871-1982
(864) 677-2450
Mailing address
312 RELAX ST, WATERLOO, SC 29384-3503
(864) 871-1982
(864) 677-2450
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3750
SC
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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