Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter |
NPI | 1124211453 |
---|---|
Provider Name | Amanda J Murphy |
First Address | Laurinburg, NC 28352-5510 |
Second Address | Laurinburg, NC 28352-5510 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2007 |
Last Update Date | 21/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7795207 | (05) | NC |
7795229 | (05) | NC |