Individual
MS. CHERRY COOPER TULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 MILLGATE DR, SUITE A, WINSTON SALEM, NC 27103-1338
(336) 659-6063
(336) 659-6062
Mailing address
1400 MILLGATE DR, SUITE A, WINSTON SALEM, NC 27103-1338
(336) 659-6062
(336) 659-6063
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
CPED3362
DE
224P00000X
Prosthetist
CPED3362
DE
225000000X
Orthotic Fitter
CPED3362
DE
Other
Enumeration date
11/28/2011
Last updated
07/23/2013
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