Individual
CARL SKINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1351 SUSANNA WESLEY DR, WINSTON SALEM, NC 27104-1159
(336) 724-7921
(336) 724-0499
Mailing address
1351 SUSANNA WESLEY DR, WINSTON SALEM, NC 27104-1159
(336) 724-7921
(336) 724-0499
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5060
NC
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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