BRENT ALAN WILLARD

WINSTON SALEM, NC
NPI1104033133
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NC  876)
Enumeration Date2007-05-17
Last Update Date2007-07-08
Business Address
Mr. BRENT ALAN WILLARD LPTA
901 BETHESDA RD
WINSTON SALEM, NC 27103-3015
Phone number: 336-768-2211
Mailing Address
Mr. BRENT ALAN WILLARD LPTA
5133 RIVER CHASE RDG
WINSTON SALEM, NC 27104-4470
Phone number: 336-765-7796
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