NPI | 1528364098 |
---|---|
Other Name | BOBBY A SMITH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 222Z00000X Orthotist (Licence: CO002952) |
Additional Taxonomies | 224P00000X Prosthetist |
225000000X Orthotic Fitter | |
246Z00000X Specialist/Technologist, Other | |
Enumeration Date | 2011-02-01 |
Last Update Date | 2013-03-21 |