Individual
RICHARD DUNCAN POPELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
901 BETHESDA RD, WINSTON SALEM, NC 27103-3015
(336) 768-2211
(336) 659-0783
Mailing address
5119 SPIRAL WOOD DR, CLEMMONS, NC 27012-8286
(336) 712-1078
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5949
NC
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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