Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | NC |
NPI | 1942491402 |
---|---|
Provider Name | Mrs. Susan Denise Caton |
First Address | Pinehurst, NC 28374-9797 |
Second Address | Pinehurst, NC 28374-9797 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2007 |
Last Update Date | 08/08/2007 |