Individual
SUSAN MCNOLDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
241 STONE MOSS LN, WINSTON SALEM, NC 27127-6805
(336) 784-5486
Mailing address
241 STONE MOSS LN, WINSTON SALEM, NC 27127-6805
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5033
NC
Other
Enumeration date
03/09/2009
Last updated
03/09/2009
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