Individual
TAMMY REGISTER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
200 TRADE ST, TARBORO, NC 27886-5055
(252) 823-2799
Mailing address
4132 EDGEWOOD ST, AYDEN, NC 28513-1553
(252) 902-4067
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4581
NC
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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