Individual
AVA RAE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2165 MEDICAL PARK DR, HICKORY, NC 28602-8809
(828) 324-2800
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16377
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16377
LICENSE
NC
Enumeration date
11/20/2023
Last updated
11/20/2023
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