Individual
LADONNA SHANTEE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
849 WATERWORKS RD, WINSTON SALEM, NC 27101-1956
(336) 559-2166
Mailing address
849 WATERWORKS RD, WINSTON SALEM, NC 27101-1956
(336) 559-2166
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8649
NC
Other
Enumeration date
03/24/2013
Last updated
03/24/2013
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