NPI 1285917302

Simmons Therapy Associates PLLC

Organisation Early Intervention Provider Agency Winston Salem, NC

Practice location

Address: 3455 Polo Rd STE 109, Winston Salem, NC 27106-4860
Phone: (336) 287-4949
Mailing address: 193 Woodburn Pl, Advance, NC 27006-9456

Authorised official

Name: Martha C Simmons
Title: Owner
Phone: (336) 287-4949

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence 748 (NC)

Other Early Intervention Provider Agency providers in North Carolina →

Registry record

NPI: 1285917302
Entity type: Organization
NPI issued: 25 Sep 2011
Record last updated: 25 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.