Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224P00000X | Prosthetist | ||
N | 225000000X | Orthotic Fitter |
NPI | 1508179516 |
---|---|
Provider Name | Brentt Ramharter |
First Address | Tracy, CA 95304-9314 |
Second Address | Bend, OR 97701-4283 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2010 |
Last Update Date | 10/01/2012 |