Healthcare Provider Details

I. General information

NPI: 1285503581
Provider Name (Legal Business Name): BELLE SMITH OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2025
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8674 WINDSOR HILL BLVD
N CHARLESTON SC
29420-8458
US

IV. Provider business mailing address

8310 RIVERS AVE STE D
N CHARLESTON SC
29406-9268
US

V. Phone/Fax

Practice location:
  • Phone: 843-588-5677
  • Fax: 855-632-2877
Mailing address:
  • Phone: 843-588-5677
  • Fax: 855-632-2877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number7743
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: