Most Relevant Information
Provider Data
| NPI Number: | 1003486614 |
| Provider Name: | SUZANNE SMITH OTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 13885 |
Most Important Dates
| Enumeration Date: | 06/26/2021 |
| Last Updated: | 06/26/2021 |
Provider Practice Location
8848 RED OAK BLVD
CHARLOTTE
NC
282174053
Practice Location Phone/Fax
| Phone: | 9804225887 |
| Fax: |
Provider Mailing Location
8848 RED OAK BLVD
CHARLOTTE
NC
282174053
Provider Mailing Phone/Fax
| Phone: | 9804225887 |
| Fax: |