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Mr. Patrick Lavern Holt
Prosthetic/Orthotic Supplier in Mason City, Iowa
NPI 1336561737

Patrick Lavern Holt is a Prosthetic/Orthotic Supplier based in Mason City, IA. Patrick Lavern Holt practices in Mason City, IA. The NPI Number for Patrick Lavern Holt is 1336561737 and holds a License No. 1-17-010888 M (Iowa).

The current practice location address for Patrick Lavern Holt is 1454 N Federal Ave, Mason City, IA and can be reached out via phone at 641-421-8640 and via fax at 641-421-8640.

Location: 1454 N Federal Ave, Mason City, IA, 50401-1268
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336561737
Provider Name
Patrick Lavern Holt
Credential
Provider Entity Type
Individual
Gender
Male
Address
1454 N Federal Ave, Mason City, IA, 50401-1268
Phone Number
641-421-8640
Fax Number
641-421-8640
Provider Enumeration Date
01/20/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1454 N Federal Ave
City
Mason City
State
Iowa
Zip
50401-1268
Phone Number
641-421-8640
Fax Number
641-421-8640
person
Provider Business Mailing Address Details
Address
1454 N Federal Ave
City
Mason City
State
Iowa
Zip
50401-1268
Phone Number
641-421-8640
Fax Number
641-421-8640
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
1-17-010888 M (Iowa)
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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