Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225000000X | Orthotic Fitter |
NPI | 1225562283 |
---|---|
Provider Name | Rebekka Jonette Reets |
First Address | Raleigh, NC 27604-3659 |
Second Address | Raleigh, NC 27604-3659 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2017 |
Last Update Date | 23/12/2019 |