Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225000000X | Orthotic Fitter | CFO03229 | MA |
NPI | 1598819807 |
---|---|
Provider Name | Christopher C Myers |
First Address | Hyannis, MA 02601-3825 |
Second Address | Hyannis, MA 02601-3825 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2007 |
Last Update Date | 07/10/2009 |