Individual
JOELY BRODIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
849 WATERWORKS RD, WINSTON SALEM, NC 27101-1956
(336) 595-2166
Mailing address
2291 HARTFIELD CIR, WINSTON SALEM, NC 27103-6844
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12125
NC
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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