Brent Alan Willard in Winston Salem - Physical Therapy Assistant

Brent Alan Willard - NPI 1104033133

Brent Alan Willard is a Physical Therapy Assistant in Winston Salem, North Carolina. Brent Alan Willard practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Brent Alan Willard is 1104033133. The last update date is 2007-07-08.

Brent Alan Willard's current location address is 901 Bethesda Rd, Winston Salem, North Carolina. You can contact this provider via phone number 3367682211. The mailing address for Brent Alan Willard is 901 Bethesda Rd, Winston Salem, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Brent Alan Willard
Address 901 Bethesda Rd, Winston Salem, North Carolina
Phone Number 3367682211
Fax Number
Sole Proprietor N
Credentials LPTA

NPI Number Detail

NPI Number 1104033133
Provider Enumeration Date 2007-05-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 901 Bethesda Rd
City Winston Salem
State North Carolina (NC)
Post Code 271033015
Phone Number 3367682211
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No 876
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

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FAQs about Brent Alan Willard

What is the unique identifier code issued to Brent Alan Willard by the Centers for Medicare & Medicaid Services (CMS)?

The Brent Alan Willard has been assigned the NPI (National Provider Identifier) 1104033133. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Brent Alan Willard is physically located?

The Brent Alan Willard is situated at the following address: 901 Bethesda Rd, Winston Salem, NC 271033015.

What is Brent Alan Willard's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Brent Alan Willard is Physical Therapy Assistant, and the corresponding taxonomy classification code for this specialized field is 225200000X.

When did Brent Alan Willard receive its 1104033133 assignment?

The Brent Alan Willard was assigned its 1104033133 on 2007-05-17, which is the date when this unique identifier was issued to the organization.

When was the information regarding Brent Alan Willard most recently updated?

The details pertaining to the Brent Alan Willard, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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