Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | 556833 | OK |
NPI | 1326340639 |
---|---|
Provider Name | Jamie H Meltzner |
First Address | Edmond, OK 73003-0011 |
Second Address | Edmond, OK 73013-9019 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2010 |
Last Update Date | 12/01/2016 |