Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | C36402 | NC |
NPI | 1649449471 |
---|---|
Provider Name | Mr. Felicite H Thompson |
First Address | Chapel Hill, NC 27517-7883 |
Second Address | Chapel Hill, NC 27517-7883 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2008 |
Last Update Date | 26/02/2008 |