Individual
MR. BRIAN AVERY SPIKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
618 S MAIN ST, REIDSVILLE, NC 27320-5020
(336) 951-6090
Mailing address
617 BROOKMONT DR, WINSTON SALEM, NC 27107-7665
(336) 582-8675
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9358
NC
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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