Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter |
NPI | 1053658757 |
---|---|
Provider Name | Wendy Carter |
First Address | Charlotte, NC 28226 |
Second Address | Charlotte, NC 28226 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2013 |
Last Update Date | 25/03/2014 |