Individual
REGINALD MUSEKIWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
205 E KINGS HWY, EDEN, NC 27288-5239
(336) 623-9712
Mailing address
7586 FINTRY DR, GREENSBORO, NC 27409-9560
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
8320
NC
Other
Enumeration date
06/06/2017
Last updated
06/06/2017
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