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Organization
WALNUT RIDGE THERAPY
Active
Organization
WALNUT RIDGE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAYNA KASEL NOWICKI (OWNER)
(336) 408-5970
Entity
Organization
Contact information
Practice address
147 SCOTCH MOSS DR, ADVANCE, NC 27006-7354
(336) 408-5970
Mailing address
147 SCOTCH MOSS DR, ADVANCE, NC 27006-7354
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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