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Organization

CAROLINA WOUND CARE AND PHYSICAL THERAPY

Active
Other names
CAROLINA WOUND THERAPY
Organization subpart
No

Provider details

NPI number
Authorized official
INDIA REID REYNOLDS PT, CWS, CPC (OWNER, PRESIDENT)
(336) 788-1119
Entity
Organization

Contact information

Practice address
425 W 24TH ST, WINSTON SALEM, NC 27105-5035
(336) 707-7257
(336) 788-1145
Mailing address
425 W 24TH ST, WINSTON SALEM, NC 27105-5035
(336) 707-7257
(336) 788-1145

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
P8176
NC
261QP2000X
Physical Therapy Clinic/Center
Primary
P8176
NC

Other

Enumeration date
07/15/2012
Last updated
12/04/2016
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