Individual
DUSTIN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1423 ANDERSON RIDGE RD, GREER, SC 29651-7664
(864) 423-2805
Mailing address
1423 ANDERSON RIDGE RD, GREER, SC 29651-7664
(864) 423-2805
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3393
SC
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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