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Theresa Withers, PROSTHETICS
Prosthetic/Orthotic Supplier in Detroit, Michigan
NPI 1386412641

Theresa Withers is a Prosthetic/Orthotic Supplier based in Detroit, MI. Theresa Withers practices in Detroit, MI and has the professional credentials of PROSTHETICS. The NPI Number for Theresa Withers is 1386412641 and holds a License No. (Michigan).

The current practice location address for Theresa Withers is 11779 Maiden St, Detroit, MI and can be reached out via phone at 586-900-1707. You can also correspond with Theresa Withers through the mailing address at 11779 MAIDEN ST, DETROIT, MI - 48213-1605 (mailing address contact number: 586-900-1707).

Location: 11779 Maiden St, Detroit, MI, 48213-1605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386412641
Provider Name
Theresa Withers
Credential
PROSTHETICS
Provider Entity Type
Individual
Gender
Female
Address
11779 Maiden St, Detroit, MI, 48213-1605
Phone Number
586-900-1707
Fax Number
Provider Enumeration Date
12/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11779 Maiden St
City
Detroit
State
Michigan
Zip
48213-1605
Phone Number
586-900-1707
Fax Number
person
Provider Business Mailing Address Details
Address
11779 Maiden St
City
Detroit
State
Michigan
Zip
48213-1605
Phone Number
586-900-1707
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
(Michigan)
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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