Individual
MRS. AMY LEE WACHTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
ALO49
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ALO49
BOARD OF MEDICAL LICENSURE & SUPERVISION STATE OF OKLAHOMA
OK
01
—
CO003335
AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS & PROSTHETICS
—
Enumeration date
04/03/2009
Last updated
04/03/2009
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