Organization
INNOVATIVE HEALTH & REHAB CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENDA JACKSON OT/L (OCCUPATIONAL THERAPY CONSULTATIVE)
(336) 624-6519
Entity
Organization
Contact information
Practice address
1232 HIGHLAND AVE, WINSTON SALEM, NC 27101-1625
(336) 624-6519
Mailing address
PO BOX 881, KERNERSVILLE, NC 27285-0881
(336) 624-6519
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NC
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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