Cherry Cooper Tull
Pedorthist in Winston Salem, NC. Individual provider (NPI-1).
NPI number1477820090
StatusActive
Last updated in NPPESJul 23, 2013
Details
- NPI
- 1477820090
- Entity type
- Individual (NPI-1)
- Name
- Ms. Cherry Cooper Tull
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 28, 2011
- Last updated
- Jul 23, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224L00000X | Pedorthist | Cped3362 | DE | Yes |
| 224P00000X | Prosthetist | cped3362 | DE | |
| 225000000X | Orthotic Fitter | cped3362 | DE |
Practice location
1400 Millgate DrSuite A
Winston Salem, NC 27103-1338
Phone 336-659-6063 · Fax 336-659-6062
Mailing address
1400 Millgate DrSuite A
Winston Salem, NC 27103-1338
Phone 336-659-6062 · Fax 336-659-6063
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