Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224P00000X | Prosthetist |
NPI | 1366639775 |
---|---|
Provider Name | Brian Torbett |
First Address | Apple Valley, CA 92307-1377 |
Second Address | Apple Valley, CA 92307-1377 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2007 |
Last Update Date | 29/09/2007 |