Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | CFTS0549 | NC |
NPI | 1427219534 |
---|---|
Provider Name | Donna Hooten Dickens |
First Address | Nashville, NC 27856-1737 |
Second Address | Nashville, NC 27856-1737 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2008 |
Last Update Date | 18/02/2010 |