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Mr. Richard Shane Coltrain, CPO
Orthotist in Greenville, North Carolina
NPI 1417994500

Richard Shane Coltrain is a Orthotist based in Greenville, NC. Richard Shane Coltrain practices in Greenville, NC and has the professional credentials of CPO. The NPI Number for Richard Shane Coltrain is 1417994500 and holds a License No. CPO 2469 (North Carolina).

The current practice location address for Richard Shane Coltrain is 1025 Wh Smith Blvd, Greenville, NC and can be reached out via phone at 252-215-2215 and via fax at 252-215-2216. You can also correspond with Richard Shane Coltrain through the mailing address at 1025 WH SMITH BLVD, GREENVILLE, NC - 27834-5052 (mailing address contact number: 252-215-2215).

Location: 1025 Wh Smith Blvd, Greenville, NC, 27834-5052
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417994500
Provider Name
Richard Shane Coltrain
Credential
CPO
Provider Entity Type
Individual
Gender
Male
Address
1025 Wh Smith Blvd, Greenville, NC, 27834-5052
Phone Number
252-215-2215
Fax Number
252-215-2216
Provider Enumeration Date
05/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ABC CPO 2469 01 NC INDIVIDUAL ABC CERTIFICATION#
7795272 05 NC
0464J 01 NC NC BCBS PROVIDER#
institution
Provider Business Practice Location Address Details
Address
1025 Wh Smith Blvd
City
Greenville
State
North Carolina
Zip
27834-5052
Phone Number
252-215-2215
Fax Number
252-215-2216
person
Provider Business Mailing Address Details
Address
1025 Wh Smith Blvd
City
Greenville
State
North Carolina
Zip
27834-5052
Phone Number
252-215-2215
Fax Number
252-215-2216
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
CPO 2469 (Virginia)
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.
CPO 2469 (Virginia)
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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