Dr. Olivia Santoso Bentley
Orthotic Fitter
7308 E Independence Blvd Ste I
Charlotte
, North Carolina 28227-9440
Dr. Olivia Santoso Bentley
Orthotic Fitter
7308 E Independence Blvd Ste I
Charlotte
, North Carolina 28227-9440
(704) 537-0947
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About
Features
Specialties
- Orthotic Fitter
Languages spoken
- English
Location
First Address
- Dr. Olivia Santoso Bentley
- 7308 E Independence Blvd Ste I
- Charlotte, NC
- Zip : 28227-9440
- Fax : (704) 537-0947
- Phone : (704) 537-0909
Second Address
- Dr. Olivia Santoso Bentley
- 7308 E Independence Blvd Ste I
- Charlotte, NC
- Zip : 28227-9440
- Fax : (704) 537-0947
- Phone : (704) 537-0909
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225000000X | Orthotic Fitter | 1722 |
National Provider Identifier
| NPI | 1558772434 |
|---|---|
| Provider Name | Dr. Olivia Santoso Bentley |
| First Address | Charlotte, NC 28227-9440 |
| Second Address | Charlotte, NC 28227-9440 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/05/2014 |
| Last Update Date | 24/12/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.