Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | CFTS0348 | NC |
NPI | 1194991745 |
---|---|
Provider Name | Stephanie Hodges Barnes |
First Address | Eden, NC 27288-3329 |
Second Address | Eden, NC 27288-3329 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2008 |
Last Update Date | 05/05/2008 |