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1295984755
SAMYRA RENEE WOOTEN
WINSTON SALEM, NC
NPI
1295984755
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Former Name
SAMYRA RENNE JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 11523)
Enumeration Date
2008-09-09
Last Update Date
2008-09-09
Business Address
-- SAMYRA RENEE WOOTEN PT
2828 MAPLEWOOD AVE STE A
WINSTON SALEM, NC 27103-4138
Phone number: 336-765-4703
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Mailing Address
-- SAMYRA RENEE WOOTEN PT
3700 SYMI CIR
MOREHEAD CITY, NC 28557-4309
Phone number: 252-247-2738
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