Individual
CHARITY ANNE BYRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
307 UPTON ST, WINSTON SALEM, NC 27103-1735
(336) 940-2088
(336) 450-4499
Mailing address
1187 CANA RD, MOCKSVILLE, NC 27028-6126
(336) 940-2088
(336) 450-4499
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11296
NC
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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