Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | C51621 | NC |
NPI | 1386113868 |
---|---|
Provider Name | Melissa Meares |
First Address | Morganton, NC 28655-9381 |
Second Address | Morganton, NC 28655-9381 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2018 |
Last Update Date | 14/11/2018 |