Individual
SAVANNAH K DORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 S MARTIN LUTHER KING JR DR, WINSTON SALEM, NC 27110-0003
(336) 750-2000
Mailing address
1477 SANDY LN, NAVASSA, NC 28451-9401
(910) 471-9947
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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