Individual
DENNY E BISCHOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
903 W MAIN ST, YADKINVILLE, NC 27055-7807
(336) 679-8863
Mailing address
3510 WIMBERLY LN, WINSTON SALEM, NC 27106-4454
(786) 515-4881
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
11465
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
393266
NBCOT
—
Enumeration date
01/24/2019
Last updated
01/24/2019
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