institution
Wooten Prosthetics Inc
Prosthetic/Orthotic Supplier in Riverdale, Georgia
NPI 1154367548

Wooten Prosthetics Inc is a Prosthetic/Orthotic Supplier based in Riverdale, GA. Wooten Prosthetics Inc practices in Riverdale, GA. The NPI Number for Wooten Prosthetics Inc is 1154367548 and holds a License No. N/A (Georgia).

The current practice location address for Wooten Prosthetics Inc is 203 Medical Way, Riverdale, GA and can be reached out via phone at 770-991-7128 and via fax at 770-991-7130.

Location: 203 Medical Way, Riverdale, GA, 30274-2517
institution
Provider Profile Details
NPI Number
1154367548
Provider Name
Wooten Prosthetics Inc
Credential
Provider Entity Type
Organization
Address
203 Medical Way, Riverdale, GA, 30274-2517
Phone Number
770-991-7128
Fax Number
770-991-7130
Provider Enumeration Date
06/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00317204A 05 GA
institution
Provider Business Practice Location Address Details
Address
203 Medical Way
City
State
Zip
30274-2517
Phone Number
770-991-7128
Fax Number
770-991-7130
person
Provider Business Mailing Address Details
Address
203 Medical Way
City
State
Zip
30274-2517
Phone Number
770-991-7128
Fax Number
770-991-7130
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
License No.
N/A (Georgia)
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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