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1740944057
LYDIA SMITH
MOORESVILLE, NC
NPI
1740944057
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Former Name
LYDIA GRUM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 14549)
Enumeration Date
2021-10-25
Last Update Date
2022-03-03
Business Address
LYDIA SMITH OT/L
134 INFIELD CT
MOORESVILLE, NC 28117-8026
Phone number: 704-799-6824
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Mailing Address
LYDIA SMITH OT/L
134 INFIELD CT
MOORESVILLE, NC 28117-8026
Phone number: 704-799-6824
Copy
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