| Doctor Name: | MR. ROGER CLEVELAND HOMESLEY |
| NPI Number: | 1114209111 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CFO CFTS |
| License Number: | CFTS 1242 |
| Business Practice Address: | 626 Center Dr Lincolnton, NC - 280923712 |
| Business Phone Number: | 7047352556 |
| Business Fax Number: | 7047359045 |
| Mailing Address: | Po Box 368, 626 Center Drive LINCOLNTON |
| State: | NC |
| Postal Code: | 280930368 |
| Phone Number: | 7047352556 |
| Fax Number: | 7047359045 |
| NPI Enumeration Date: | 09/15/2011 |
| NPI Last Update Date: | 09/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225000000X |
| License Number: | CFTS 1242 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Orthotic Fitter |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual trained in the management of fitting prefabricated orthoses. |