Organization
REGENERATIVE THERAPIES, LLC.
Active
Other names
Winston Salem Wound Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN MICHAEL ROGERS P.T. (MEMEBER MANAGER)
(336) 324-9497
Entity
Organization
Contact information
Practice address
3314 HEALY DR, SUITE 105, WINSTON SALEM, NC 27103-1408
(336) 602-2003
(888) 640-9976
Mailing address
615 S POPLAR ST, WINSTON SALEM, NC 27101-5853
(336) 324-9497
(888) 640-9976
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
9515
NC
Other
Enumeration date
01/24/2008
Last updated
01/24/2008
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