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Individual

MRS. DEANNA COLE REYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
3907A W MARKET ST, GREENSBORO, NC 27407-1303
(336) 279-9008
(336) 740-9099
Mailing address
5603 W FRIENDLY AVE STE B, #274, GREENSBORO, NC 27410-4252
(336) 772-5499
(336) 740-9099

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
4531
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7200380
NC
05
7301654
NC
Enumeration date
04/06/2007
Last updated
06/07/2021
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