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Amanda Chantell Anderson
Prosthetic/Orthotic Supplier in Clinton, Maryland
NPI 1073212122

Amanda Chantell Anderson is a Prosthetic/Orthotic Supplier based in Clinton, MD. Amanda Chantell Anderson practices in Clinton, MD. The NPI Number for Amanda Chantell Anderson is 1073212122 and holds a License No. (Maryland).

The current practice location address for Amanda Chantell Anderson is 7801 Old Branch Ave, Clinton, MD and can be reached out via phone at 301-381-1666.

Location: 7801 Old Branch Ave, Clinton, MD, 20735
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073212122
Provider Name
Amanda Chantell Anderson
Credential
Provider Entity Type
Individual
Gender
Female
Address
7801 Old Branch Ave, Clinton, MD, 20735
Phone Number
301-381-1666
Fax Number
Provider Enumeration Date
02/27/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
82-1428313 01 MD PROSTHETIC/ORTHOTIC SUPPLIER
institution
Provider Business Practice Location Address Details
Address
7801 Old Branch Ave
City
Clinton
State
Maryland
Zip
20735
Phone Number
301-381-1666
Fax Number
person
Provider Business Mailing Address Details
Address
7801 Old Branch Ave
City
Clinton
State
Maryland
Zip
20735
Phone Number
301-381-1666
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
(Maryland)
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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