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Clarissa Stewart Reynolds, COF
Mastectomy Fitter in Hamlet, North Carolina
NPI 1073708830

Clarissa Stewart Reynolds is a Mastectomy Fitter based in Hamlet, NC. Clarissa Stewart Reynolds practices in Hamlet, NC and has the professional credentials of COF. The NPI Number for Clarissa Stewart Reynolds is 1073708830 and holds a License No. (North Carolina).

The current practice location address for Clarissa Stewart Reynolds is 41 W Main St, Hamlet, NC and can be reached out via phone at 910-582-1776 and via fax at 910-582-2506.

Location: 41 W Main St, Hamlet, NC, 28345-0791
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073708830
Provider Name
Clarissa Stewart Reynolds
Credential
COF
Provider Entity Type
Individual
Gender
Female
Address
41 W Main St, Hamlet, NC, 28345-0791
Phone Number
910-582-1776
Fax Number
910-582-2506
Provider Enumeration Date
09/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
41 W Main St
City
Hamlet
State
North Carolina
Zip
28345-3629
Phone Number
910-582-1776
Fax Number
910-582-2506
person
Provider Business Mailing Address Details
Address
41 W Main St
City
Hamlet
State
North Carolina
Zip
28345-3629
Phone Number
910-582-1776
Fax Number
910-582-2506
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Mastectomy Fitter
Speciality
-
Taxonomy
224900000X
License No.
CFOM0714 (North Carolina)
Definition
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotic Fitter
Speciality
-
Taxonomy
225000000X
License No.
()
Definition
An individual trained in the management of fitting prefabricated orthoses.
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