is a Prosthetic/orthotic Supplier in Wilmington, Delaware. practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for is 1316059876. The last update date is .
's current location address is 1600 Rockland Rd, Wilmington, Delaware. You can contact this provider via phone number 3024297625 and fax number 3024297683. The mailing address for is 1600 Rockland Rd, Wilmington, Delaware. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1600 Rockland Rd, Wilmington, Delaware |
| Phone Number | 3024297625 |
| Fax Number | 3024297683 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1316059876 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1600 Rockland Rd |
|---|---|
| City | Wilmington |
| State | Delaware (DE) |
| Post Code | 198033607 |
| Phone Number | 3024297625 |
| Fax Number | 3024297683 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
| Licence No | 1998204043 |
|
Definition: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 256916 | DE | -- |
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