Individual
LIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1086 MAIN ST, YANCEYVILLE, NC 27379-8789
(336) 694-5916
Mailing address
1086 MAIN ST, YANCEYVILLE, NC 27379-8789
(336) 694-5917
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11238
NC
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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