Individual
MRS. SANDRA LEE PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1250 ARBOR RD, WINSTON SALEM, NC 27104-1106
(336) 724-7921
Mailing address
6052 YEATON GLEN DR, WINSTON SALEM, NC 27107-3700
(336) 327-7097
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4653
NC
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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