Individual
MRS. ALYSSA JEAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
101 3B EAST MARKET STREET, SMITHFIELD, NC 27577
(919) 912-2030
Mailing address
101 3B EAST MARKET STREET, SMITHFIELD, NC 27577
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11592
NC
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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