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Phillip Johnson
Prosthetic/Orthotic Supplier in Blacksburg, Virginia
NPI 1265616528

Phillip Johnson is a Prosthetic/Orthotic Supplier based in Blacksburg, VA. Phillip Johnson practices in Blacksburg, VA. The NPI Number for Phillip Johnson is 1265616528 and holds a License No. (Virginia).

The current practice location address for Phillip Johnson is 3635 S Main St, Blacksburg, VA and can be reached out via phone at 540-951-2566 and via fax at 540-951-7818.

Location: 3635 S Main St, Blacksburg, VA, 24060-7021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265616528
Provider Name
Phillip Johnson
Credential
Provider Entity Type
Organization
Address
3635 S Main St, Blacksburg, VA, 24060-7021
Phone Number
540-951-2566
Fax Number
540-951-7818
Provider Enumeration Date
12/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3635 S Main St
City
Blacksburg
State
Virginia
Zip
24060-7021
Phone Number
540-951-2566
Fax Number
540-951-7818
person
Provider Business Mailing Address Details
Address
3635 S Main St
City
Blacksburg
State
Virginia
Zip
24060-7021
Phone Number
540-951-2566
Fax Number
540-951-7818
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
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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