Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | 225000000X | SC |
NPI | 1942216262 |
---|---|
Provider Name | Katherine E Newton |
First Address | Rock Hill, SC 29730-8362 |
Second Address | Rock Hill, SC 29732-1089 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
DE2524 | (05) | SC |