Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | OI60444179 | WA |
Y | 222Z00000X | Podiatrist | OI60444179 | WA |
N | 224P00000X | Prosthetist | PS60444370 | WA |
N | 225000000X | Orthotic Fitter | CPO002069 | DE |
NPI | 1538397047 |
---|---|
Provider Name | Ms. Caryn P Earl |
First Address | Seattle, WA 98109 |
Second Address | Seattle, WA 98109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2009 |
Last Update Date | 18/08/2015 |