Individual
MABRY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
104 MAXWELL AVE, GREENWOOD, SC 29646-2641
(864) 229-7529
Mailing address
118 OXFORD RD, GREENWOOD, SC 29649-9159
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5280
SC
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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