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Mr. Terry J Supan, CPO
Prosthetist in Springfield, Illinois
NPI 1366461410

Terry J Supan is a Prosthetist based in Springfield, IL. Terry J Supan practices in Springfield, IL and has the professional credentials of CPO. The NPI Number for Terry J Supan is 1366461410 and holds a License No. (Illinois).

The current practice location address for Terry J Supan is 355 W Carpenter Street, Springfield, IL and can be reached out via phone at 217-789-1450 and via fax at 217-789-1454.

Location: 355 W Carpenter Street, Springfield, IL, 62702-4945
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366461410
Provider Name
Terry J Supan
Credential
CPO
Provider Entity Type
Individual
Gender
Male
Address
355 W Carpenter Street, Springfield, IL, 62702-4945
Phone Number
217-789-1450
Fax Number
217-789-1454
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
355 W Carpenter Street
City
Springfield
State
Illinois
Zip
62702-4945
Phone Number
217-789-1450
Fax Number
217-789-1454
person
Provider Business Mailing Address Details
Address
355 W Carpenter Street
City
Springfield
State
Illinois
Zip
62702-4945
Phone Number
217-789-1450
Fax Number
217-789-1454
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
(Illinois)
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.
(Illinois)
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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