Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | CFTS0597 | NC |
NPI | 1225205743 |
---|---|
Provider Name | Sherri Sizemore Marion |
First Address | Hickory, NC 28601-8394 |
Second Address | Hickory, NC 28601-8394 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2008 |
Last Update Date | 14/05/2008 |