Organization
FOUNDATION HEALTH SYSTEMS CORP.
Active
Other names
Edwin H. Martinat Comprehensive Outpatient Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY LINER (EXE.VP & CCO & ADMIN)
(336) 277-1473
Entity
Organization
Contact information
Practice address
485 VALLEY RD, SUITE 102, MOCKSVILLE, NC 27028-2074
(336) 751-8003
Mailing address
2000 FRONTIS PLAZA BLVD STE 200, (ATTN) FORSYTH MEDICAL GROUP, WINSTON SALEM, NC 27103-5616
(336) 277-2435
(336) 277-9275
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/02/2006
Last updated
09/11/2025
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