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Venessa Nacole Wilson
Prosthetic/Orthotic Supplier in Baton Rouge, Louisiana
NPI 1053027482

Venessa Nacole Wilson is a Prosthetic/Orthotic Supplier based in Baton Rouge, LA. Venessa Nacole Wilson practices in Baton Rouge, LA. The NPI Number for Venessa Nacole Wilson is 1053027482 and holds a License No. 419152 (Louisiana).

The current practice location address for Venessa Nacole Wilson is 7819 Bluebonnet Blvd Ste C, Baton Rouge, LA and can be reached out via phone at 225-335-8652.

Location: 7819 Bluebonnet Blvd Ste C, Baton Rouge, LA, 70810-2836
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053027482
Provider Name
Venessa Nacole Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
7819 Bluebonnet Blvd Ste C, Baton Rouge, LA, 70810-2836
Phone Number
225-335-8652
Fax Number
Provider Enumeration Date
01/30/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7819 Bluebonnet Blvd Ste C
City
Baton Rouge
State
Louisiana
Zip
70810-2836
Phone Number
225-335-8652
Fax Number
person
Provider Business Mailing Address Details
Address
7819 Bluebonnet Blvd Ste C
City
Baton Rouge
State
Louisiana
Zip
70810-2836
Phone Number
225-335-8652
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
419152 (Louisiana)
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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