Individual
MRS. TALISA S DORSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
190 MORAVIAN WAY DR, WINSTON SALEM, NC 27106-3216
(919) 454-6265
Mailing address
6623 GENTRY CIRCLE., APT 301, CLEMMONS, NC 27012
(919) 454-6265
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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