Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | C-PED2314 | DE |
NPI | 1912113960 |
---|---|
Provider Name | Melissa Joy Zuercher-Binkerd |
First Address | Bisbee, AZ 85603-9758 |
Second Address | Hereford, AZ 85615-8320 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2007 |
Last Update Date | 08/07/2007 |