institution
Old Dominion Prosthetics & Orthotics, Inc.
Customized Equipment (DME) in Charlottesville, Virginia
NPI 1316120546

Old Dominion Prosthetics & Orthotics, Inc. is a Customized Equipment (DME) based in Charlottesville, VA and is specialized in Customized Equipment. Old Dominion Prosthetics & Orthotics, Inc. practices in Charlottesville, VA. The NPI Number for Old Dominion Prosthetics & Orthotics, Inc. is 1316120546 and holds a License No. (Virginia).

The current practice location address for Old Dominion Prosthetics & Orthotics, Inc. is 612 Rio Rd W, Charlottesville, VA and can be reached out via phone at 434-973-6209 and via fax at 434-973-1774.

Location: 612 Rio Rd W, Charlottesville, VA, 22901-1412
institution
Provider Profile Details
NPI Number
1316120546
Provider Name
Old Dominion Prosthetics & Orthotics, Inc.
Credential
Provider Entity Type
Organization
Address
612 Rio Rd W, Charlottesville, VA, 22901-1412
Phone Number
434-973-6209
Fax Number
434-973-1774
Provider Enumeration Date
12/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
106977 01 VA ANTHEM
institution
Provider Business Practice Location Address Details
Address
612 Rio Rd W
City
State
Zip
22901-1412
Phone Number
434-973-6209
Fax Number
434-973-1774
person
Provider Business Mailing Address Details
Address
612 Rio Rd W
City
State
Zip
22901-1412
Phone Number
434-973-6209
Fax Number
434-973-1774
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
(Virginia)
Definition
Definition to come...
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