Individual provider · NPI-1

Wendy Carter, CFOM

Orthotic Fitter · Charlotte, NC

NPI number1053658757
StatusActive
Last updated in NPPESMar 25, 2014

Details

NPI
1053658757
Entity type
Individual (NPI-1)
Name
Wendy Carter
Credential
CFOM
Sex
Female
Sole proprietor
No
Enumeration date
Jan 15, 2013
Last updated
Mar 25, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225000000X Orthotic Fitter––Yes
224900000X Mastectomy Fitter––

Practice location

8320 Bon Rea Dr
Charlotte, NC 28226

Phone 240-625-2848

Mailing address

8320 Bon Rea Dr
Charlotte, NC 28226

Phone 240-625-2848

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