Individual
KATHRYN DIANE JANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
440 INGRAM DR, KING, NC 27021-8208
(336) 983-4900
Mailing address
228 TABOR VIEW LN, WINSTON SALEM, NC 27106-4576
(336) 768-9978
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0498
NC
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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