NPI 1194070961

Douglas Leclair, CO

Practitioner Orthotist Winston Salem, NC

Practice location

Address: 1677 Westbrook Plaza Dr Suite 190, Winston Salem, NC 27103-3065
Phone: (336) 765-2425
Fax: (336) 765-8370
Mailing address: PO Box 24905, Winston Salem, NC 27114-4905

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

Other Orthotist providers in North Carolina →

Registry record

NPI: 1194070961
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jul 2012
Record last updated: 18 Jul 2012

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.