Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225000000X | Orthotic Fitter |
NPI | 1457336034 |
---|---|
Provider Name | Jeri Francoeur |
First Address | Ormond Beach, FL 32175-1508 |
Second Address | Ormond Beach, FL 32174-4447 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2005 |
Last Update Date | 29/08/2007 |