Individual
PHILLIP HERRING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1460 BABCOCK DR, WINSTON SALEM, NC 27106-2632
(336) 767-8130
Mailing address
433 CROWN POINT CIR NW, CONCORD, NC 28027-1916
(980) 621-4497
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12072
NC
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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