Healthcare Provider Details

I. General information

NPI: 1548189145
Provider Name (Legal Business Name): MRS. CAITLIN BOWMAN MARTWINSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 MASON FARM RD
CHAPEL HILL NC
27514-4617
US

IV. Provider business mailing address

102 MASON FARM RD
CHAPEL HILL NC
27514-4617
US

V. Phone/Fax

Practice location:
  • Phone: 984-974-5783
  • Fax:
Mailing address:
  • Phone: 984-974-5783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Z00000X
TaxonomyOrthotist
License NumberCO007236
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: