Individual
BROC SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 WESTWOOD MEDICAL PARK, BLUEFIELD, VA 24605-2003
(276) 322-5439
Mailing address
6421 COUNTRY RD, CYCLONE, WV 24827-9454
(276) 322-5439
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C2464
WV
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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