Individual
JADE WOODHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1460 BABCOCK DR, WINSTON SALEM, NC 27106-2632
(336) 448-2788
Mailing address
141 LOWELL ST, LEXINGTON, NC 27295-6830
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
13976
NC
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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