Individual
ASHLEY ELIZABETH TANNER SMITHSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
611 26TH AVE S, NORTH MYRTLE BEACH, SC 29582-4449
(843) 455-7949
Mailing address
611 26TH AVE S, NORTH MYRTLE BEACH, SC 29582-4449
(843) 455-7949
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3997
SC
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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