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Jack E. Soulis, CPO
Orthotist in Duarte, California
NPI 1174025068

Jack E. Soulis is a Orthotist based in Duarte, CA. Jack E. Soulis practices in Duarte, CA and has the professional credentials of CPO. The NPI Number for Jack E. Soulis is 1174025068 and holds a License No. CPO03980 (California).

The current practice location address for Jack E. Soulis is 931 Buena Vista St Ste 105, Duarte, CA and can be reached out via phone at 626-256-1415 and via fax at 626-256-1405.

Location: 931 Buena Vista St Ste 105, Duarte, CA, 91010-1780
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174025068
Provider Name
Jack E. Soulis
Credential
CPO
Provider Entity Type
Individual
Gender
Male
Address
931 Buena Vista St Ste 105, Duarte, CA, 91010-1780
Phone Number
626-256-1415
Fax Number
626-256-1405
Provider Enumeration Date
03/06/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
931 Buena Vista St Ste 105
City
Duarte
State
California
Zip
91010-1780
Phone Number
626-256-1415
Fax Number
626-256-1405
person
Provider Business Mailing Address Details
Address
931 Buena Vista St Ste 105
City
Duarte
State
California
Zip
91010-1780
Phone Number
626-256-1415
Fax Number
626-256-1405
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
CPO03980 ()
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
CPO03980 ()
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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