Individual
TENEISHA CANDICE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3155 MAPLEWOOD AVE, WINSTON SALEM, NC 27103-3903
(336) 397-6000
Mailing address
3155 MAPLEWOOD AVE, WINSTON SALEM, NC 27103-3903
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17923
NC
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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