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Sandra L Vitale
Prosthetic/Orthotic Supplier in Modesto, California
NPI 1053414052

Sandra L Vitale is a Prosthetic/Orthotic Supplier based in Modesto, CA. Sandra L Vitale practices in Modesto, CA. The NPI Number for Sandra L Vitale is 1053414052 and holds a License No. (California).

The current practice location address for Sandra L Vitale is 1005 W Orangeburg Ave, Modesto, CA and can be reached out via phone at 209-575-1063 and via fax at 209-575-1065. You can also correspond with Sandra L Vitale through the mailing address at 1005 W ORANGEBURG AVE, MODESTO, CA - 95350-4163 (mailing address contact number: 209-575-1063).

Location: 1005 W Orangeburg Ave, Modesto, CA, 95350-4163
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053414052
Provider Name
Sandra L Vitale
Credential
Provider Entity Type
Organization
Address
1005 W Orangeburg Ave, Modesto, CA, 95350-4163
Phone Number
209-575-1063
Fax Number
209-575-1065
Provider Enumeration Date
09/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GXC000360 05 CA
institution
Provider Business Practice Location Address Details
Address
1005 W Orangeburg Ave
City
Modesto
State
California
Zip
95350-4163
Phone Number
209-575-1063
Fax Number
209-575-1065
person
Provider Business Mailing Address Details
Address
1005 W Orangeburg Ave
City
Modesto
State
California
Zip
95350-4163
Phone Number
209-575-1063
Fax Number
209-575-1065
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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