Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter |
NPI | 1427232859 |
---|---|
Provider Name | Ms. Terri L Veiga |
First Address | Arroyo Grande, CA 93420-2448 |
Second Address | Arroyo Grande, CA 93420-2448 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2007 |
Last Update Date | 04/09/2008 |