Individual
MRS. PRISCILLA ELISABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
131 GOLF COURSE RD, HARTSVILLE, SC 29550-3037
(843) 339-9639
Mailing address
105 YAUPON DR, HARTSVILLE, SC 29550
(843) 319-3125
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2231
SC
225XP0200X
Pediatric Occupational Therapist
3941
NC
Other
Enumeration date
05/09/2006
Last updated
06/27/2017
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