Mrs. Ethel Ruth Bradshaw
Orthotic Fitter
1892 West Memorial Hwy
Union Grove
, North Carolina 28689-9049
Mrs. Ethel Ruth Bradshaw
Orthotic Fitter
1892 West Memorial Hwy
Union Grove
, North Carolina 28689-9049
(704) 539-4663
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About
Features
Specialties
- Orthotic Fitter
Languages spoken
- English
Location
First Address
- Mrs. Ethel Ruth Bradshaw
- P.o. Box 103
- Union Grove, NC
- Zip : 28689-0103
- Fax : (704) 539-4663
- Phone : (704) 539-4445
Second Address
- Mrs. Ethel Ruth Bradshaw
- 1892 West Memorial Hwy
- Union Grove, NC
- Zip : 28689-9049
- Fax : (704) 539-4663
- Phone : (704) 539-4445
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter |
National Provider Identifier
| NPI | 1750618948 |
|---|---|
| Provider Name | Mrs. Ethel Ruth Bradshaw |
| First Address | Union Grove, NC 28689-0103 |
| Second Address | Union Grove, NC 28689-9049 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/11/2009 |
| Last Update Date | 09/11/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 7703861 | (05) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.