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Certified Pedorthic Orthotics
Prosthetic/Orthotic Supplier in Columbia, South Carolina
NPI 1427030550

Certified Pedorthic Orthotics is a Prosthetic/Orthotic Supplier based in Columbia, SC. Certified Pedorthic Orthotics practices in Columbia, SC. The NPI Number for Certified Pedorthic Orthotics is 1427030550 and holds a License No. 001666 (South Carolina).

The current practice location address for Certified Pedorthic Orthotics is 1901 Blanding St, Columbia, SC and can be reached out via phone at 803-779-0550 and via fax at 803-779-4606.

Location: 1901 Blanding St, Columbia, SC, 29201-3519
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427030550
Provider Name
Certified Pedorthic Orthotics
Credential
Provider Entity Type
Organization
Address
1901 Blanding St, Columbia, SC, 29201-3519
Phone Number
803-779-0550
Fax Number
803-779-4606
Provider Enumeration Date
11/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DME592 05 SC
institution
Provider Business Practice Location Address Details
Address
1901 Blanding St
City
Columbia
State
South Carolina
Zip
29201-3519
Phone Number
803-779-0550
Fax Number
803-779-4606
person
Provider Business Mailing Address Details
Address
1901 Blanding St
City
Columbia
State
South Carolina
Zip
29201-3519
Phone Number
803-779-0550
Fax Number
803-779-4606
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
001666 (South Carolina)
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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