Individual
MRS. MICHELLE DENISE RAVISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
3812 FORESTGATE DRIVE, WINSTON SALEM, NC 27103-3806
(336) 768-2011
(336) 760-4258
Mailing address
3812 FORRESTGATE DR, WINSTON SALEM, NC 27103-3036
(336) 768-2011
(336) 760-4258
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6049
NC
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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