Individual
MRS. KATHERINE WAYNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5149 KING RUSTY LN, WINSTON SALEM, NC 27106-4628
(704) 408-5048
(336) 923-5357
Mailing address
5149 KING RUSTY LN, WINSTON SALEM, NC 27106-4628
(704) 408-5048
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8104
NC
Other
Enumeration date
11/05/2011
Last updated
07/18/2012
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