Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | 000822620I | NC |
NPI | 1033416359 |
---|---|
Provider Name | Ms. Natalie Allison Moss |
First Address | Cherryville, NC 28021-3407 |
Second Address | Cherryville, NC 28021-3407 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2011 |
Last Update Date | 23/02/2011 |