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Individual

MS. ELIZABETH ANNE FAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR L

Contact information

Practice address
2315 COLISEUM DR, WINSTON SALEM, NC 27106-5801
(336) 727-2440
(336) 727-2873
Mailing address
2713 TUDOR RD, WINSTON SALEM, NC 27106-5215
(336) 725-2817
(336) 983-4915

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0839
NC
225XP0200X
Pediatric Occupational Therapist
Primary
0839
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
186542
REHABILITATIVE MEDICINE
NC
01
31042
REHABILITATIVE MEDICINE
NC
05
7331042
NC
01
807864
REHABILITATIVE MEDICINE
NC
Enumeration date
07/10/2006
Last updated
09/11/2025
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