Individual
BAILEY MCINNIS RUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
390 S LIBERTY ST, WINSTON SALEM, NC 27101-5260
(336) 934-4058
Mailing address
390 S LIBERTY ST, WINSTON SALEM, NC 27101-5260
(336) 934-4058
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119009185
VA
225X00000X
Occupational Therapist
16052
NC
Other
Enumeration date
08/17/2021
Last updated
04/23/2024
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