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Individual

MRS. ELIZABETH PHILLIPS NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
425 YATES RD, WINSTON SALEM, NC 27106-4516
(877) 781-9565
Mailing address
425 YATES RD, WINSTON SALEM, NC 27106-4516
(336) 774-0074

Taxonomy

Speciality
Code
Description
License number
State
225XR0403X
Driving and Community Mobility Occupational Therapist
0446
NC
225XR0403X
Driving and Community Mobility Occupational Therapist
Primary
446
NC

Other

Enumeration date
04/22/2008
Last updated
05/12/2008
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