NPI 1003739053

Avery Smith, COTAL

Practitioner Occupational Therapy Assistant Fayetteville, NC

Practice location

Address: 2465 Gillespie St, Fayetteville, NC 28306-3053
Phone: (910) 678-2300
Mailing address: 129 Garner Rd APT 3a, Spartanburg, SC 29303-3290

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 17754 (NC)

Other Occupational Therapy Assistant providers in North Carolina →

Registry record

NPI: 1003739053
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Aug 2026
Record last updated: 4 Aug 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.