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Mr. Antonio Mario Sergio SR., REGSHOE-MAKERMERCH
Orthotic Fitter in South Bend, Indiana
NPI 1437301074

Antonio Mario Sergio SR. is a Orthotic Fitter based in South Bend, IN. Antonio Mario Sergio SR. practices in South Bend, IN and has the professional credentials of REGSHOE-MAKERMERCH. The NPI Number for Antonio Mario Sergio SR. is 1437301074 and holds a License No. (Indiana).

The current practice location address for Antonio Mario Sergio SR. is 1508 Mishawaka Avenue, South Bend, IN and can be reached out via phone at 574-246-9700.

Location: 1508 Mishawaka Avenue, South Bend, IN, 46615-1426
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437301074
Provider Name
Antonio Mario Sergio SR.
Credential
REGSHOE-MAKERMERCH
Provider Entity Type
Individual
Gender
Male
Address
1508 Mishawaka Avenue, South Bend, IN, 46615-1426
Phone Number
574-246-9700
Fax Number
Provider Enumeration Date
10/15/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1508 Mishawaka Avenue
City
South Bend
State
Indiana
Zip
46615-1426
Phone Number
574-246-9700
Fax Number
person
Provider Business Mailing Address Details
Address
1508 Mishawaka Avenue
City
South Bend
State
Indiana
Zip
46615-1426
Phone Number
574-246-9700
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
()
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
Orthotic Fitter
Speciality
-
Taxonomy
225000000X
License No.
()
Definition
An individual trained in the management of fitting prefabricated orthoses.
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