Individual
KATHERINE WEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COF
Contact information
Practice address
1345 WESTGATE CENTER DR, WINSTON SALEM, NC 27103-3040
(336) 546-7165
Mailing address
1345 WESTGATE CENTER DR, WINSTON SALEM, NC 27103-3040
(336) 546-7165
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
C74490
NC
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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