Triad Lymphatics LLC

NPI #1508512492 in Winston Salem, North Carolina

Provider Information

NPI Number: 1508512492
Entity Type: Organization
Organization Name: Triad Lymphatics LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Mar 1, 2022
Last Updated: Mar 3, 2022

Practice Location

Address: 5486 ALAMO DR
City: Winston Salem
State: North Carolina
ZIP Code: 27104-3442
Phone: (252) 529-8919

Authorized Official

Name: MRS. RAYDESHA BANKS, OT, CLT
Title: OWNER, CERTIFIED LYMPHEDEMA THERAPI
Phone: (252) 529-8919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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