Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter |
NPI | 1255657821 |
---|---|
Provider Name | Ms. Teresa S Shipman |
First Address | Asheville, NC 28801-4419 |
Second Address | Asheville, NC 28801-4419 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2010 |
Last Update Date | 08/04/2010 |