An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Pedorthist | 224L00000X |
| Mastectomy Fitter | 224900000X |
* Indicates primary specialty
| NPI Number | 1932440468 |
| Credentials | CFOM, LPED |
| Entity | Individual |
| Enumeration date | 03/07/2013 |
| Last updated | 03/07/2013 - About 13 years ago |
| Sole proprietor1 | No |
| Identifiers |
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| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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