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Organization
YOUR THERAPY SPECIALISTS, LLC
Active
Organization
YOUR THERAPY SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRIDGETTE RENEE JOHNSON PT (OWNER)
(336) 725-9787
Entity
Organization
Contact information
Practice address
775 W END BLVD, WINSTON SALEM, NC 27101-2421
(336) 725-9787
(336) 725-9977
Mailing address
5435 BELLE AVE, WINSTON SALEM, NC 27105-9696
(336) 725-9787
(336) 725-9977
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9985
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079Y2
BCBS OF NC
NC
Enumeration date
07/07/2006
Last updated
09/08/2008
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