Individual
LAURA J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1035 W MAIN ST, CENTRAL, SC 29630-9229
(864) 512-7740
(864) 512-7741
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 512-7740
(864) 512-7741
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2451
SC
363LF0000X
Family Nurse Practitioner
Primary
26481
SC
Other
Enumeration date
03/01/2007
Last updated
04/17/2023
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