institution
Vivian L Martin
Prosthetic/Orthotic Supplier in Mount Vernon, Illinois
NPI 1194078816

Vivian L Martin is a Prosthetic/Orthotic Supplier based in Mount Vernon, IL. Vivian L Martin practices in Mount Vernon, IL. The NPI Number for Vivian L Martin is 1194078816 and holds a License No. (Illinois).

The current practice location address for Vivian L Martin is 1024 Jordan St, Mount Vernon, IL and can be reached out via phone at 618-242-4442 and via fax at 618-242-3942.

Location: 1024 Jordan St, Mount Vernon, IL, 62864-4231
institution
Provider Profile Details
NPI Number
1194078816
Provider Name
Vivian L Martin
Credential
Provider Entity Type
Organization
Address
1024 Jordan St, Mount Vernon, IL, 62864-4231
Phone Number
618-242-4442
Fax Number
618-242-3942
Provider Enumeration Date
10/18/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1024 Jordan St
City
State
Zip
62864-4231
Phone Number
618-242-4442
Fax Number
618-242-3942
person
Provider Business Mailing Address Details
Address
1024 Jordan St
City
State
Zip
62864-4231
Phone Number
618-242-4442
Fax Number
618-242-3942
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
License No.
()
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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