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NPI Code Detail

MEDICARE: ERIN DACEY SMITH OTR/L

MEDICARE: ERIN DACEY SMITH OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist9709NC
2225X00000XOccupational Therapist3917SC

General Provider Information

NPI Number : 1962889097
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN DACEY SMITH OTR/L
Provider Business Mailing Address
First Line : 14100 CANVASBACK DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28273-6705
Country : US
Telephone Number : 919-749-6674
Fax Number :
Provider Business Practice Location Address
First Line : 8919 PARK RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-9600
Country : US
Telephone Number : 704-551-6800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2015
Last Update Date : 03/18/2026

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