Individual
NOVA WEBSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
611 N LINDSAY ST, HIGH POINT, NC 27262-4300
(336) 802-2250
Mailing address
611 N LINDSAY ST, HIGH POINT, NC 27262-4300
(336) 802-2250
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1539
NC
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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