Taxonomy Code 335E00000X(335e00000x)
Prosthetic/Orthotic Supplier. Providers: 2

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Prosthetic/Orthotic Supplier Providers

NPI Name Type Address

1295316511

Latrese Jackson

Individual

2324 Gwendale Dr W

Lizella, GA

1699356923

Aria London Boutique

Organization

2311 Gwendale Dr E

Lizella, GA

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 335E00000X
Display Name Prosthetic/Orthotic Supplier
Taxonomy Group Suppliers
Taxonomy Classification Prosthetic/Orthotic Supplier
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 function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Effective Date September 30, 2009
Modification Date September 30, 2009
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