Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225000000X | Orthotic Fitter |
NPI | 1386814291 |
---|---|
Provider Name | Ondrea S Meredith |
First Address | Winston Salem, NC 27114-4574 |
Second Address | Winston Salem, NC 27103-1418 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2008 |
Last Update Date | 09/08/2013 |