Individual
MRS. ANDREA EANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT OTR/L
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3202
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3202
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119006532
VA
225X00000X
Occupational Therapist
Primary
9878
NC
Other
Enumeration date
03/05/2015
Last updated
12/14/2020
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