Individual provider · Type 1 NPI

Betha Hunnicutt Ertzberger, CPED

Pedorthist · Ronkonkoma, NY

NPI number 1992287387 Active

Practice location

2905 Veterans Memorial Hwy Ste 2
Ronkonkoma, NY 11779-7655

Mailing address

2320 Armstrong Park Dr
Gastonia, NC 28054-4889

Specialties and licenses

TaxonomyCodeLicense
Pedorthist Primary 224L00000XNone listed

Pedorthist: 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.

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About NPI 1992287387

Betha Hunnicutt Ertzberger, CPED's National Provider Identifier is 1992287387, issued on Aug 31, 2018. The primary taxonomy on file is Pedorthist (224L00000X), and the practice location is in Ronkonkoma, NY. The record was last updated on Aug 31, 2018.