Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225CX0006X | Orientation and Mobility Training Provider |
NPI | 1427459197 |
---|---|
Provider Name | Cynthia Percy |
First Address | Charleston, SC 29407-6972 |
Second Address | Charleston, SC 29407-6972 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2014 |
Last Update Date | 11/09/2014 |