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Ms. Brenda Elaine Crook-petite-el
Prosthetic/Orthotic Supplier in Riverdale, Georgia
NPI 1023240611

Brenda Elaine Crook-petite-el is a Prosthetic/Orthotic Supplier based in Riverdale, GA. Brenda Elaine Crook-petite-el practices in Riverdale, GA. The NPI Number for Brenda Elaine Crook-petite-el is 1023240611 and holds a License No. ACTIVE (Georgia).

The current practice location address for Brenda Elaine Crook-petite-el is 289 Brookview Dr, Riverdale, GA and can be reached out via phone at 770-873-7370.

Location: 289 Brookview Dr, Riverdale, GA, 30274-7207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023240611
Provider Name
Brenda Elaine Crook-petite-el
Credential
Provider Entity Type
Individual
Gender
Female
Address
289 Brookview Dr, Riverdale, GA, 30274-7207
Phone Number
770-873-7370
Fax Number
Provider Enumeration Date
08/14/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
289 Brookview Dr
City
Riverdale
State
Georgia
Zip
30274-7207
Phone Number
770-873-7370
Fax Number
person
Provider Business Mailing Address Details
Address
289 Brookview Dr
City
Riverdale
State
Georgia
Zip
30274-7207
Phone Number
770-873-7370
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
ACTIVE (Georgia)
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.
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