Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225000000X | Orthotic Fitter |
NPI | 1154509917 |
---|---|
Provider Name | Mr. Phillip Arthur |
First Address | Zanesville, OH 43702 |
Second Address | Zanesville, OH 43701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2008 |
Last Update Date | 15/10/2019 |