Individual
MRS. EMILY ANNE DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1199 HAYES FOREST DR # D, WINSTON SALEM, NC 27106-3377
(336) 759-1044
Mailing address
1104 EBERT ST, WINSTON SALEM, NC 27103-4412
(859) 539-0225
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10957
NC
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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