Individual
PAMELA HUFFSTETLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFOM
Contact information
Practice address
105 T R HARRIS DR, SHELBY, NC 28150-3486
(704) 487-5225
Mailing address
105 T R HARRIS DR, SHELBY, NC 28150-3486
(704) 487-5225
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CFOM0556
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7795065
MASTECTOMY CERTIFIED FITT
NC
01
—
7795240
ORTHOTIC CERTIFIED FITTER
NC
Enumeration date
07/10/2007
Last updated
07/10/2007
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