Individual
MR. HARLEY EUGENE TRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA/L
Contact information
Practice address
849 WATERWORKS RD, WINSTON SALEM, NC 27101-1956
(336) 595-2166
Mailing address
339 BURKEWOOD DR, WINSTON SALEM, NC 27104-3940
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6164
NC
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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