Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter |
NPI | 1417144494 |
---|---|
Provider Name | Louise G Garrett |
First Address | Fresno, CA 93711-6167 |
Second Address | Fresno, CA 93711-6167 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2007 |
Last Update Date | 20/04/2015 |