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Alicia Nicole Landress
Prosthetic/Orthotic Supplier in North Augusta, South Carolina
NPI 1033974910

Alicia Nicole Landress is a Prosthetic/Orthotic Supplier based in North Augusta, SC. Alicia Nicole Landress practices in North Augusta, SC. The NPI Number for Alicia Nicole Landress is 1033974910 and holds a License No. (South Carolina).

The current practice location address for Alicia Nicole Landress is 107 E Marion Ave, North Augusta, SC and can be reached out via phone at 803-426-8092.

Location: 107 E Marion Ave, North Augusta, SC, 29841-3118
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033974910
Provider Name
Alicia Nicole Landress
Credential
Provider Entity Type
Individual
Gender
Female
Address
107 E Marion Ave, North Augusta, SC, 29841-3118
Phone Number
803-426-8092
Fax Number
Provider Enumeration Date
02/19/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
107 E Marion Ave
City
North Augusta
State
South Carolina
Zip
29841-2935
Phone Number
803-426-8092
Fax Number
person
Provider Business Mailing Address Details
Address
107 E Marion Ave
City
North Augusta
State
South Carolina
Zip
29841-2935
Phone Number
803-426-8092
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
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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