Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter |
NPI | 1184861122 |
---|---|
Provider Name | Mrs. Heather L Reed |
First Address | Dunn, NC 28334-4230 |
Second Address | Dunn, NC 28334-4230 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2009 |
Last Update Date | 06/11/2017 |