| Triad Lymphatics Llc | |
|
5486 Alamo Dr, Winston Salem, NC 27104-3442 | |
| (252) 529-8919 | |
| Not Available |
| Full Name | Triad Lymphatics Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 5486 Alamo Dr, Winston Salem, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508512492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Raydesha Laveia Banks |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114429321 PECOS PAC ID: 7719313006 Enrollment ID: I20200205000495 |
| Mailing Address | Practice Location Address |
|---|---|
| Triad Lymphatics Llc 6255 Towncenter Dr Ste 874, Clemmons, NC 27012-9376 Ph: () - | Triad Lymphatics Llc 5486 Alamo Dr, Winston Salem, NC 27104-3442 Ph: (252) 529-8919 |
Jonelle Claricia Bedford, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 S Martin Luther King Jr Dr, Winston Salem, NC 27110 Phone: 336-750-3174 | |
Catherine Coats, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 S Martin Luther King Jr Dr Fl 432, Winston Salem, NC 27110 Phone: 336-750-3174 | |
Martha Bowers, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3812 Forrestgate Dr, Winston Salem, NC 27103 Phone: 336-774-3752 Fax: 336-774-3773 | |
Mrs. Mary C Winford, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2585 Mid Salem Dr, Winston Salem, NC 27103 Phone: 601-754-4303 | |
Brittany Dixon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 S Martin Luther King Jr Dr, Winston Salem, NC 27110 Phone: 336-750-2000 | |
Mrs. Kelli B Cross, MOTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5755 Shattalon Dr, Winston Salem, NC 27105 Phone: 336-744-2779 | |
Brianna Ciara Fleming, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 S Martin Luther King Jr Dr Fl 432, Winston Salem, NC 27110 Phone: 910-551-2446 |