Individual
JEREMYE WEBSTER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1721 BALD HILL LOOP, MADISON, NC 27025-7624
(336) 548-9658
Mailing address
1721 BALD HILL LOOP, MADISON, NC 27025-7624
(336) 548-9658
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5149
NC
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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