NPI | 1710133475 |
---|---|
Other Name | BARBARA J WALLACE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225000000X Orthotic Fitter |
Additional Taxonomies | 171W00000X Contractor |
224L00000X Pedorthist | |
Enumeration Date | 2008-08-13 |
Last Update Date | 2011-03-22 |