Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter |
NPI | 1386231785 |
---|---|
Provider Name | Mr. Robert Andrew Finley |
First Address | Anderson, SC 29621-5705 |
Second Address | Greenville, SC 29605-4769 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/12/2020 |
Last Update Date | 31/12/2020 |