ELIZABETH BIVENS FAIRCLOTH

WINSTON SALEM, NC
NPI1225060288
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NC  7669)
Enumeration Date2006-07-07
Last Update Date2007-07-08
Business Address
Ms. ELIZABETH BIVENS FAIRCLOTH LPT
2828 MAPLEWOOD AVE SUITE A
WINSTON SALEM, NC 27103-4138
Phone number: 336-765-4703
Mailing Address
Ms. ELIZABETH BIVENS FAIRCLOTH LPT
2828 MAPLEWOOD AVE SUITE A
WINSTON SALEM, NC 27103-4138
Phone number: 336-765-4703
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