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Inniss M Tarawollie
Prosthetic/Orthotic Supplier in Indianapolis, Indiana
NPI 1386306231

Inniss M Tarawollie is a Prosthetic/Orthotic Supplier based in Indianapolis, IN. Inniss M Tarawollie practices in Indianapolis, IN. The NPI Number for Inniss M Tarawollie is 1386306231 and holds a License No. BC20501718 (Indiana).

The current practice location address for Inniss M Tarawollie is 5108 W 38Th St, Indianapolis, IN and can be reached out via phone at 317-760-7180.

Location: 5108 W 38Th St, Indianapolis, IN, 46254-3326
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386306231
Provider Name
Inniss M Tarawollie
Credential
Provider Entity Type
Individual
Gender
Female
Address
5108 W 38Th St, Indianapolis, IN, 46254-3326
Phone Number
317-760-7180
Fax Number
Provider Enumeration Date
10/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5108 W 38Th St
City
Indianapolis
State
Indiana
Zip
46254-3326
Phone Number
317-760-7180
Fax Number
person
Provider Business Mailing Address Details
Address
5108 W 38Th St
City
Indianapolis
State
Indiana
Zip
46254-3326
Phone Number
317-760-7180
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
BC20501718 (Indiana)
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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