MR. Brent Alan Willard, LPTA
NPI #1104033133 in Winston Salem, North Carolina
Provider Information
- NPI Number
- 1104033133
- Entity Type
- Individual
- Name
- MR. Brent Alan Willard, LPTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- LPTA
- Enumeration Date
- May 17, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 901 BETHESDA RD
- City
- Winston Salem
- State
- North Carolina
- ZIP Code
- 27103-3015
- Phone
- (336) 768-2211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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