Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | NC |
NPI | 1285394833 |
---|---|
Provider Name | Mrs. Heather Michelle Rowland |
First Address | Winston Salem, NC 27103-3041 |
Second Address | Winston Salem, NC 27103-3041 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2021 |
Last Update Date | 22/12/2021 |