Individual
DWAYNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
6381 LIVE OAK AVE SW, OCEAN ISLE BEACH, NC 28469-4741
(910) 754-8858
Mailing address
6381 LIVE OAK AVE SW, OCEAN ISLE BEACH, NC 28469-4741
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
5227
NC
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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