Individual
RYAN DULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
170 KIMEL PARK DR, WINSTON SALEM, NC 27103-6946
(336) 768-1270
Mailing address
4601 PARK RD STE 300, CHARLOTTE, NC 28209-2290
(704) 323-2248
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12900
NC
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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