Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225000000X | Orthotic Fitter |
NPI | 1730189119 |
---|---|
Provider Name | Armie Rowland Strickland JR. |
First Address | Stantonsburg, NC 27883-0040 |
Second Address | Stantonsburg, NC 27883-0040 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2005 |
Last Update Date | 04/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7701139 | (05) | NC |