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Davidson Prosthetics Llc
Prosthetic/Orthotic Supplier in Puyallup, Washington
NPI 1033360409

Davidson Prosthetics Llc is a Prosthetic/Orthotic Supplier based in Puyallup, WA. Davidson Prosthetics Llc practices in Puyallup, WA. The NPI Number for Davidson Prosthetics Llc is 1033360409 and holds a License No. CPO01874 (Washington).

The current practice location address for Davidson Prosthetics Llc is 11919 Canyon Rd E, Puyallup, WA and can be reached out via phone at 253-770-6578 and via fax at 253-881-1397.

Location: 11919 Canyon Rd E, Puyallup, WA, 98373-4456
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033360409
Provider Name
Davidson Prosthetics Llc
Credential
Provider Entity Type
Organization
Address
11919 Canyon Rd E, Puyallup, WA, 98373-4456
Phone Number
253-770-6578
Fax Number
253-881-1397
Provider Enumeration Date
10/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9062993 05 WA
institution
Provider Business Practice Location Address Details
Address
11919 Canyon Rd E
City
Puyallup
State
Washington
Zip
98373-4456
Phone Number
253-770-6578
Fax Number
253-881-1397
person
Provider Business Mailing Address Details
Address
11919 Canyon Rd E
City
Puyallup
State
Washington
Zip
98373-4456
Phone Number
253-770-6578
Fax Number
253-881-1397
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
CPO01874 (Washington)
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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