Individual
JENNIFER LEA WORISCHECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
190 KIMEL PARK DR STE 139, WINSTON SALEM, NC 27103-6946
(336) 718-6931
Mailing address
PO BOX 601791, CHARLOTTE, NC 28260-1791
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15805
NC
225X00000X
Occupational Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/11/2021
Last updated
03/20/2023
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