Individual
MYRA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 667-7835
Mailing address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/24/2025
Last updated
12/24/2025
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