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Clover Charles
Prosthetist in Lynchburg, Virginia
NPI 1205308210

Clover Charles is a Prosthetist based in Lynchburg, VA. Clover Charles practices in Lynchburg, VA. The NPI Number for Clover Charles is 1205308210 and holds a License No. 1201133686 (Virginia).

The current practice location address for Clover Charles is 476 Oakley Ave, Lynchburg, VA and can be reached out via phone at 434-444-2579.

Location: 476 Oakley Ave, Lynchburg, VA, 24501-3647
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205308210
Provider Name
Clover Charles
Credential
Provider Entity Type
Individual
Gender
Female
Address
476 Oakley Ave, Lynchburg, VA, 24501-3647
Phone Number
434-444-2579
Fax Number
Provider Enumeration Date
01/02/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NONE 01 NONE
institution
Provider Business Practice Location Address Details
Address
476 Oakley Ave
City
Lynchburg
State
Virginia
Zip
24501-3647
Phone Number
434-444-2579
Fax Number
person
Provider Business Mailing Address Details
Address
476 Oakley Ave
City
Lynchburg
State
Virginia
Zip
24501-3647
Phone Number
434-444-2579
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
1201133686 (Virginia)
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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