Individual
GREGORY PHILIP SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
2300 ABERDEEN BLVD, GASTONIA, NC 28054-0613
(704) 834-4800
Mailing address
2590 ENOLA RD, MORGANTON, NC 28655-7357
(828) 433-0488
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3380
NC
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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