NPI 1518142215

Mark Root, CFOCOF

Practitioner Orthotic Fitter Columbia, SC

Practice location

Address: 5950 Hampton Leas Ln, Columbia, SC 29209-1900
Phone: (803) 960-0952
Fax: (803) 776-6639

Registered specialties

Orthotic Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X

Other Orthotic Fitter providers in South Carolina →

Registry record

NPI: 1518142215
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jan 2008
Record last updated: 1 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.