Kaelove Brena Richardson

NPI #1134733272 in Winston Salem, North Carolina

Provider Information

NPI Number: 1134733272
Entity Type: Individual
Name: Kaelove Brena Richardson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Sep 5, 2020
Last Updated: Sep 17, 2024

Practice Location

Address: 601 S MARTIN LUTHER KING JR DR FL 432
City: Winston Salem
State: North Carolina
ZIP Code: 27110-0003
Phone: (333) 750-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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