Individual
MADISON E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9600 NUMBER 5 SCHOOL RD NW, ASH, NC 28420-2122
(910) 287-6007
Mailing address
2301 LUCIEN WAY STE 325, MAITLAND, FL 32751-7020
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17389
NC
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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