Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | ORF292 | FL |
NPI | 1912677212 |
---|---|
Provider Name | Marcia Kanani Mcdowell |
First Address | Rockledge, FL 32955-3623 |
Second Address | Rockledge, FL 32955-3623 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2021 |
Last Update Date | 17/09/2021 |