Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | ORF53 | FL |
NPI | 1730344474 |
---|---|
Provider Name | Mrs. Charla Frances Griffith |
First Address | Ocala, FL 34470-3228 |
Second Address | Ocala, FL 34470-3228 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2008 |
Last Update Date | 22/07/2008 |