Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224P00000X | Prosthetist | ||
N | 225000000X | Orthotic Fitter |
NPI | 1205267234 |
---|---|
Provider Name | Melanie Antweiler |
First Address | Waynesville, NC 28786-9311 |
Second Address | Sylva, NC 28779-9477 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2013 |
Last Update Date | 25/03/2014 |