Individual
MRS. JILLIAN MARIE PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
120 RADFORD ST, WINSTON SALEM, NC 27106-3716
(336) 782-8478
Mailing address
120 RADFORD ST, WINSTON SALEM, NC 27106-3716
(336) 782-8478
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5928
NC
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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