Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | NC |
NPI | 1447531728 |
---|---|
Provider Name | Ms. Anne Jack Hansley |
First Address | Hendersonville, NC 28792-3706 |
Second Address | Hendersonville, NC 28792-3706 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2011 |
Last Update Date | 31/08/2011 |