Individual
AMY AUTEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
396 COOPER RD, VALE, NC 28168-9383
(704) 276-2099
Mailing address
396 COOPER RD, VALE, NC 28168-9383
(704) 276-2099
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1163
NC
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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