Organization
SIMMONS THERAPY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA C SIMMONS OTR/L (OWNER)
(336) 287-4949
Entity
Organization
Contact information
Practice address
3455 POLO RD STE 109, WINSTON SALEM, NC 27106-4860
(336) 287-4949
Mailing address
193 WOODBURN PL, ADVANCE, NC 27006-9456
(336) 287-4949
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
748
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
748
NORTH CAROLINA BOARD OF OCCUPATIONAL THERAPY
NC
Enumeration date
09/25/2011
Last updated
09/25/2011
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