Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter |
NPI | 1457306201 |
---|---|
Provider Name | Mrs. Sandra Jane Tomsic |
First Address | Pickerington, OH 43147-2213 |
Second Address | Canal Winchester, OH 43110-9276 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2006 |
Last Update Date | 23/09/2016 |