Mary Ellen Gordon
Orthotic Fitter
514 N Brightleaf Blvd Ste 1202
Smithfield
, North Carolina 27577-4486
Mary Ellen Gordon
Orthotic Fitter
514 N Brightleaf Blvd Ste 1202
Smithfield
, North Carolina 27577-4486
(919) 934-9280
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About
Features
Specialties
- Orthotic Fitter
Languages spoken
- English
Location
First Address
- Mary Ellen Gordon
- 514 N Brightleaf Blvd Ste 1202
- Smithfield, NC
- Zip : 27577-4486
- Fax : (919) 934-9280
- Phone : (919) 934-4997
Second Address
- Mary Ellen Gordon
- 514 N Brightleaf Blvd Ste 1202
- Smithfield, NC
- Zip : 27577-4486
- Fax : (919) 934-9280
- Phone : (919) 934-4997
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter |
National Provider Identifier
| NPI | 1942405873 |
|---|---|
| Provider Name | Mary Ellen Gordon |
| First Address | Smithfield, NC 27577-4486 |
| Second Address | Smithfield, NC 27577-4486 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/06/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.