Organization
FOUNDATIONS HEALTH SYSTEMS CORP
Active
Other names
Novant Health Orthopedic Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (RCS MANAGER)
(704) 303-7517
Entity
Organization
Contact information
Practice address
3155 MAPLEWOOD AVE, WINSTON SALEM, NC 27103-3903
(336) 718-7980
Mailing address
PO BOX 601791, CHARLOTTE, NC 28260-1791
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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