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Mr. Timothy Donald Kanallakan, CP
Prosthetist in Fresno, California
NPI 1316267727

Timothy Donald Kanallakan is a Prosthetist based in Fresno, CA. Timothy Donald Kanallakan practices in Fresno, CA and has the professional credentials of CP. The NPI Number for Timothy Donald Kanallakan is 1316267727 and holds a License No. (California).

The current practice location address for Timothy Donald Kanallakan is 3520 E Shields Ave, Fresno, CA and can be reached out via phone at 559-221-1933 and via fax at 559-221-0260. You can also correspond with Timothy Donald Kanallakan through the mailing address at 3520 E SHIELDS AVE, FRESNO, CA - 93726-6923 (mailing address contact number: 559-221-1933).

Location: 3520 E Shields Ave, Fresno, CA, 93726-6923
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316267727
Provider Name
Timothy Donald Kanallakan
Credential
CP
Provider Entity Type
Individual
Gender
Male
Address
3520 E Shields Ave, Fresno, CA, 93726-6923
Phone Number
559-221-1933
Fax Number
559-221-0260
Provider Enumeration Date
06/08/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3520 E Shields Ave
City
Fresno
State
California
Zip
93726-6923
Phone Number
559-221-1933
Fax Number
559-221-0260
person
Provider Business Mailing Address Details
Address
3520 E Shields Ave
City
Fresno
State
California
Zip
93726-6923
Phone Number
559-221-1933
Fax Number
559-221-0260
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
()
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.
()
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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