Individual
AESHIA COGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1199 HAYES FOREST DR, WINSTON SALEM, NC 27106-3377
(336) 759-1044
Mailing address
5671 BEAVER POND TRL, PFAFFTOWN, NC 27040-9042
(304) 580-9391
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P20623
NC
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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