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Potomac Cobbler, Inc
Prosthetic/Orthotic Supplier in Woodbridge, Virginia
NPI 1063667434

Potomac Cobbler, Inc is a Prosthetic/Orthotic Supplier based in Woodbridge, VA. Potomac Cobbler, Inc practices in Woodbridge, VA. The NPI Number for Potomac Cobbler, Inc is 1063667434 and holds a License No. 1994 (Virginia).

The current practice location address for Potomac Cobbler, Inc is 14437 Jefferson Davis Highway, Woodbridge, VA and can be reached out via phone at 703-491-4222 and via fax at 703-491-1040.

Location: 14437 Jefferson Davis Highway, Woodbridge, VA, 22191-2805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063667434
Provider Name
Potomac Cobbler, Inc
Credential
Provider Entity Type
Organization
Address
14437 Jefferson Davis Highway, Woodbridge, VA, 22191-2805
Phone Number
703-491-4222
Fax Number
703-491-1040
Provider Enumeration Date
11/26/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14437 Jefferson Davis Highway
City
Woodbridge
State
Virginia
Zip
22191-2805
Phone Number
703-491-4222
Fax Number
703-491-1040
person
Provider Business Mailing Address Details
Address
14437 Jefferson Davis Highway
City
Woodbridge
State
Virginia
Zip
22191-2805
Phone Number
703-491-4222
Fax Number
703-491-1040
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
1994 (Virginia)
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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