Individual
RITA M HAIRSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5755 SHATTOLIN DR, WINSTON-SALEM, NC 27105
(336) 744-2779
Mailing address
2211 MERCK DR, APT 204, WINSTON SALEM, NC 27106-3180
(336) 923-5208
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/24/2007
Last updated
05/04/2009
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