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Custom Rehabilitation Specialites, Inc
Prosthetic/Orthotic Supplier in Wilmington, North Carolina
NPI 1467557108

Custom Rehabilitation Specialites, Inc is a Prosthetic/Orthotic Supplier based in Wilmington, NC. Custom Rehabilitation Specialites, Inc practices in Wilmington, NC. The NPI Number for Custom Rehabilitation Specialites, Inc is 1467557108 and holds a License No. (North Carolina).

The current practice location address for Custom Rehabilitation Specialites, Inc is 4308 Maidstone Dr, Wilmington, NC and can be reached out via phone at 910-228-9808 and via fax at 910-791-7304. You can also correspond with Custom Rehabilitation Specialites, Inc through the mailing address at 7225 ANACA POINT RD, WILMINGTON, NC - 28411-9501 (mailing address contact number: 910-471-2962).

Location: 4308 Maidstone Dr, Wilmington, NC, 28411-9501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467557108
Provider Name
Custom Rehabilitation Specialites, Inc
Credential
Provider Entity Type
Organization
Address
4308 Maidstone Dr, Wilmington, NC, 28411-9501
Phone Number
910-228-9808
Fax Number
910-791-7304
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7701331 05 NC
045NX 01 NC BCBS OF NC
institution
Provider Business Practice Location Address Details
Address
4308 Maidstone Dr
City
Wilmington
State
North Carolina
Zip
28405-7455
Phone Number
910-228-9808
Fax Number
910-791-7304
person
Provider Business Mailing Address Details
Address
7225 Anaca Point Rd
City
Wilmington
State
North Carolina
Zip
28411-9501
Phone Number
910-471-2962
Fax Number
910-791-7304
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
2055 (Delaware)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
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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