Individual
CRYSTAL P SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4217 PEPPERTREE AVE, CONCORD, NC 28027-7670
(980) 621-4792
Mailing address
4217 PEPPERTREE AVE, CONCORD, NC 28027-7670
(980) 621-4792
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9773
NC
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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