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Mr. Glenn Gordon Wilson, CP(C)CO,BOCP
Prosthetist in Spokane, Washington
NPI 1417471426

Glenn Gordon Wilson is a Prosthetist based in Veradale, WA. Glenn Gordon Wilson practices in Spokane, WA and has the professional credentials of CP(C)CO,BOCP. The NPI Number for Glenn Gordon Wilson is 1417471426 and holds a License No. PS60602304 (Washington).

The current practice location address for Glenn Gordon Wilson is 514 S Washington St, Spokane, WA and can be reached out via phone at 509-624-3314 and via fax at 509-787-0952.

Location: 514 S Washington St, Spokane, WA, 99037-9187
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417471426
Provider Name
Glenn Gordon Wilson
Credential
CP(C)CO,BOCP
Provider Entity Type
Individual
Gender
Male
Address
514 S Washington St, Spokane, WA, 99037-9187
Phone Number
509-624-3314
Fax Number
509-787-0952
Provider Enumeration Date
08/01/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
514 S Washington St
City
Spokane
State
Washington
Zip
99204-2620
Phone Number
509-624-3314
Fax Number
509-787-0952
person
Provider Business Mailing Address Details
Address
514 S Washington St
City
Spokane
State
Washington
Zip
99204-2620
Phone Number
509-624-3314
Fax Number
509-787-0952
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
PS60602304 (Washington)
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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